Provider Demographics
NPI:1912687096
Name:IPHILOSOPHY HOLISTIC PSYCHOTHERAPY
Entity Type:Organization
Organization Name:IPHILOSOPHY HOLISTIC PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAADARANI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:661-496-4343
Mailing Address - Street 1:11090 SW SAGE TER
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-2642
Mailing Address - Country:US
Mailing Address - Phone:661-496-4343
Mailing Address - Fax:
Practice Address - Street 1:11090 SW SAGE TER
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-2642
Practice Address - Country:US
Practice Address - Phone:661-496-4343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)