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Organization

TEEN FOCUSED, LLC

Active
Parent organization
BLACK THERAPY PORTLAND
Other names
Misao Eliahim
Organization subpart
Yes

Provider details

NPI number
Legal business name
BLACK THERAPY PORTLAND
Authorized official
MISAO ELIAHIM LMFT (OWNER/MH THERAPIST)
(415) 966-8067
Entity
Organization

Contact information

Practice address
8420 N IVANHOE ST # 83811, PORTLAND, OR 97203-4826
(503) 482-2400
(503) 689-8481
Mailing address
8420 N IVANHOE ST # 83811, PORTLAND, OR 97203-4826
(415) 966-8067

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
09/27/2021
Last updated
05/18/2025
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