Organization
MINDPEACE MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE H HABOUSH PMHNP (OWNER AND CLINICIAN)
(971) 365-3621
Entity
Organization
Contact information
Practice address
4531 SE BELMONT ST STE 114, PORTLAND, OR 97215-1675
(971) 365-3621
(949) 703-7718
Mailing address
4531 SE BELMONT ST STE 114, PORTLAND, OR 97215-1675
(971) 365-3621
(971) 703-7718
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500853672
—
OR
Enumeration date
04/10/2025
Last updated
04/29/2026
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