Provider Demographics
NPI:1972267300
Name:IT'S JUST THERAPY, LLC
Entity Type:Organization
Organization Name:IT'S JUST THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:G
Authorized Official - Last Name:SANDOR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:503-720-3276
Mailing Address - Street 1:18158 MEADOWLARK LN
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97034-7591
Mailing Address - Country:US
Mailing Address - Phone:503-720-3276
Mailing Address - Fax:503-941-5744
Practice Address - Street 1:12511 SW 68TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223-8298
Practice Address - Country:US
Practice Address - Phone:503-720-3276
Practice Address - Fax:503-941-5744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty