# A PLACE FOR HOPE AND HEALING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Introspective Collective
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770310864
- **Authorized official:** JUSTINE ELSTAD LCSW (OWNER)
- **Authorized official phone:** (817) 312-6370

## Contact information

- **Practice address:** 1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
- **Practice address phone:** (817) 312-6370
- **Mailing address:** 17818 S HARDING RD, OREGON CITY, OR 97045-7617
- **Mailing address phone:** (817) 312-6370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2024
- **Last updated:** 09/13/2024