Provider Demographics
NPI:1013635473
Name:NEEKEE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:NEEKEE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSASNIK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:971-500-6799
Mailing Address - Street 1:16100 NW CORNELL RD STE 220
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-7334
Mailing Address - Country:US
Mailing Address - Phone:971-500-6799
Mailing Address - Fax:503-922-6676
Practice Address - Street 1:16100 NW CORNELL RD STE 220
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-7334
Practice Address - Country:US
Practice Address - Phone:971-500-6799
Practice Address - Fax:503-922-6676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500805544Medicaid