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
PORCHLIGHT CUSTOM COUNSELING LLC
Active
Organization
PORCHLIGHT CUSTOM COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICA RICHARDS LMHC (PART OWNER)
(503) 395-3301
Entity
Organization
Contact information
Practice address
455 S KNOTT ST, CANBY, OR 97013-4426
(503) 395-3301
Mailing address
PO BOX 344, TURNER, OR 97392-0344
(503) 395-3301
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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