Mandala Mental And Behavioral Health, Llc - Portland, OR

Mandala Mental And Behavioral Health, Llc

Community/Behavioral Health Agency in Portland, Oregon

NPI 1104333103

Mandala Mental And Behavioral Health, Llc is a Community/Behavioral Health Agency based in Portland, OR. Mandala Mental And Behavioral Health, Llc practices in Portland, OR. The NPI Number for Mandala Mental And Behavioral Health, Llc is 1104333103 and holds a License No. C4036 (Oregon).

The current practice location address for Mandala Mental And Behavioral Health, Llc is 650 Ne Holladay St Ste 16001614, Portland, OR and can be reached out via phone at 503-367-3630 and via fax at 503-224-3126.

Location: 650 Ne Holladay St Ste 16001614, Portland, OR, 97232-2035

NPI Number

1104333103

Provider Name

Mandala Mental And Behavioral Health, Llc

Credential

Provider Entity Type

Organization

Address

650 Ne Holladay St Ste 16001614, Portland, OR, 97232-2035

Phone Number

503-367-3630

Fax Number

503-224-3126

Provider Enumeration Date

12/29/2017

Last Update Date

03/13/2024

Identifier	Type	State	Issuer
13804154	01		NATIONAL PROVIDER NUMBER, TERESA CONLAN
1942662150	01		NATIONAL PROVIDER NUMBER, DANIEL GILBRIDE

Address

650 Ne Holladay St Ste 16001614

City

Portland

State

Oregon

Zip

97232-2045

Phone Number

503-367-3630

Fax Number

503-224-3126

Address

650 Ne Holladay St Ste 16001614

City

Portland

State

Oregon

Zip

97232-2045

Phone Number

503-367-3630

Fax Number

503-224-3126

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Professional

Taxonomy

101YP2500X

License No.

C4036 (Oregon)

Definition

Definition to come...

Type

Behavioral Health & Social Service Providers

Classification

Social Worker

Speciality

Clinical

Taxonomy

1041C0700X

License No.

(Oregon)

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Type

Agencies

Classification

Community/Behavioral Health

Speciality

Taxonomy

251S00000X

License No.

C4036 (Oregon)

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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