Provider Demographics
NPI:1811770027
Name:SOFT TONES ART THERAPY LLC
Entity type:Organization
Organization Name:SOFT TONES ART THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ART THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNEE
Authorized Official - Middle Name:
Authorized Official - Last Name:GODSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-402-0675
Mailing Address - Street 1:2505 SE 11TH AVE STE 239
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-1062
Mailing Address - Country:US
Mailing Address - Phone:917-402-0675
Mailing Address - Fax:
Practice Address - Street 1:2505 SE 11TH AVE STE 239
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-1062
Practice Address - Country:US
Practice Address - Phone:971-402-0675
Practice Address - Fax:503-451-0903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health