Healthcare Provider Details

I. General information

NPI: 1982383758
Provider Name (Legal Business Name): PORTAL COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

652 OFFICERS ROW
VANCOUVER WA
98661-3836
US

IV. Provider business mailing address

652 OFFICERS ROW
VANCOUVER WA
98661-3836
US

V. Phone/Fax

Practice location:
  • Phone: 971-202-1220
  • Fax:
Mailing address:
  • Phone: 971-202-1220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SHAY LAURREN REYNOLDS
Title or Position: OWNER
Credential: LMHC
Phone: 971-202-1220