Provider Demographics
NPI:1659132298
Name:ASHES AND JOY COUNSELING, LLC
Entity Type:Organization
Organization Name:ASHES AND JOY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHCA, PROF COUN AS
Authorized Official - Phone:503-850-8088
Mailing Address - Street 1:11192 SE 52ND CT
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97222-3500
Mailing Address - Country:US
Mailing Address - Phone:503-850-8088
Mailing Address - Fax:833-648-2365
Practice Address - Street 1:11192 SE 52ND CT
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97222-3500
Practice Address - Country:US
Practice Address - Phone:503-850-8088
Practice Address - Fax:833-648-2365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health