Healthcare Provider Details

I. General information

NPI: 1639991201
Provider Name (Legal Business Name): CHAMBERS MENTAL HEALTH COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2024
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8137 SE SHORT RD
GRESHAM OR
97080-8206
US

IV. Provider business mailing address

8137 SE SHORT RD
GRESHAM OR
97080-8206
US

V. Phone/Fax

Practice location:
  • Phone: 503-660-8103
  • Fax:
Mailing address:
  • Phone: 503-660-8103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: LEAH CHAMBERS
Title or Position: OWNER
Credential: LPC
Phone: 503-660-8103