Provider Demographics
NPI:1710565692
Name:HEAD & HEART THERAPY, LLC
Entity Type:Organization
Organization Name:HEAD & HEART THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:SAINT JOHN
Authorized Official - Last Name:DOBEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:971-200-0482
Mailing Address - Street 1:917 SW OAK ST STE 303
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-2806
Mailing Address - Country:US
Mailing Address - Phone:971-200-0482
Mailing Address - Fax:844-479-2683
Practice Address - Street 1:917 SW OAK ST STE 303
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2806
Practice Address - Country:US
Practice Address - Phone:971-200-0482
Practice Address - Fax:844-479-2683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-31
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty