Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
HEALING TIDES COUNSELING, LLC
Active
Organization
HEALING TIDES COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANAKO DEVOLL LCSW (OWNER/THERAPIST)
(503) 887-6255
Entity
Organization
Contact information
Practice address
2450 SE BELMONT ST, PORTLAND, OR 97214-2821
(503) 887-2555
(503) 212-0969
Mailing address
3439 NE SANDY BLVD # 313, PORTLAND, OR 97232-1959
(503) 887-6255
(503) 212-0969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/02/2021
Last updated
04/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up