Organization
BUENAVIDA THERAPY LLC
Active
Other names
BuenaVida Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID ROCIO SOLARES LCSW (OWNER/FOUNDER)
(503) 330-0511
Entity
Organization
Contact information
Practice address
535 SE WASHINGTON ST STE 3, HILLSBORO, OR 97123-4142
(503) 330-0511
Mailing address
576 SE CEDAR ST, HILLSBORO, OR 97123-4429
(503) 330-0511
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
08/11/2021
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