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Organization
HEARTAFIRE LLC
Active
Organization
HEARTAFIRE LLC
Active
Parent organization
HEARTAFIRE LLC
Other names
Heartafire Counseling Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTAFIRE LLC
Authorized official
MRS. REBEKAH STINES LPC (FOUNDER/CLINICAL SUPERVISOR)
(503) 495-5111
Entity
Organization
Contact information
Practice address
9370 SW GREENBURG RD STE 202, TIGARD, OR 97223-5421
(503) 495-5111
Mailing address
9370 SW GREENBURG RD STE 202, TIGARD, OR 97223-5421
(503) 495-5111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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