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Organization
MYNDRAVYN,LLC
Active
Organization
MYNDRAVYN,LLC
Active
Other names
MyndRavyn Creative Counseling Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEKA SEALSADJEI (REVENUE CYCLE MANAGER)
(360) 998-7072
Entity
Organization
Contact information
Practice address
12150 SW WESTFALL RD, SHERWOOD, OR 97140-7207
(503) 545-8688
Mailing address
31070 SW WILLAMETTE WAY E, WILSONVILLE, OR 97070-9595
(503) 545-8688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/13/2023
Last updated
07/06/2023
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