Organization
BLACK SWAN HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS A MCGEE LPC, LMHC (COUNSELOR/OWNER)
(360) 393-2125
Entity
Organization
Contact information
Practice address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-6106
(971) 268-7462
(971) 202-9584
Mailing address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-6106
(360) 393-2125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
02/03/2025
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