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Brett Stithem, Lcsw
Adolescent and Children Mental Health Clinic/Center in Portland, Oregon
NPI 1255859583

Brett Stithem, Lcsw is an Adolescent and Children Mental Health Clinic/Center based in Portland, OR and is specialized in Adolescent and Children Mental Health. Brett Stithem, Lcsw practices in Portland, OR. The NPI Number for Brett Stithem, Lcsw is 1255859583 and holds a License No. L7183 (Oregon).

The current practice location address for Brett Stithem, Lcsw is 1312 E Burnside St, Portland, OR and can be reached out via phone at 773-575-8152 and via fax at 833-228-5249. You can also correspond with Brett Stithem, Lcsw through the mailing address at 700 SE CESAR E CHAVEZ BLVD APT 315, PORTLAND, OR - 97214-3599 (mailing address contact number: 773-575-8152).

Location: 1312 E Burnside St, Portland, OR, 97214-3599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255859583
Provider Name
Brett Stithem, Lcsw
Credential
Provider Entity Type
Organization
Address
1312 E Burnside St, Portland, OR, 97214-3599
Phone Number
773-575-8152
Fax Number
833-228-5249
Provider Enumeration Date
09/07/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1312 E Burnside St
City
Portland
State
Oregon
Zip
97214-1424
Phone Number
773-575-8152
Fax Number
833-228-5249
person
Provider Business Mailing Address Details
Address
1312 E Burnside St
City
Portland
State
Oregon
Zip
97214-1424
Phone Number
773-575-8152
Fax Number
833-228-5249
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
L7183 (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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
L7183 (Oregon)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
L7183 (Oregon)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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