Provider Demographics
NPI:1265243570
Name:BEAUTIFUL SUNSHINE THERAPY LIMITED
Entity type:Organization
Organization Name:BEAUTIFUL SUNSHINE THERAPY LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:MRS
Authorized Official - First Name:AGATHA
Authorized Official - Middle Name:OKANG
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYCHOTHERAPIST
Authorized Official - Phone:503-875-7795
Mailing Address - Street 1:9631 SE CHARBONNEAU WAY
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-7363
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2301 NW THURMAN ST STE H
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-2581
Practice Address - Country:US
Practice Address - Phone:503-741-4542
Practice Address - Fax:503-214-5406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty