Provider Demographics
NPI:1225848013
Name:THE ASIAN MENTAL HEALTH COLLECTIVE
Entity type:Organization
Organization Name:THE ASIAN MENTAL HEALTH COLLECTIVE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER & INSURANCE SPECIALI
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOWAKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-992-3617
Mailing Address - Street 1:PO BOX 873882
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98687-3882
Mailing Address - Country:US
Mailing Address - Phone:503-320-7136
Mailing Address - Fax:971-206-6624
Practice Address - Street 1:1827 NE 44TH AVE STE 310
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-1468
Practice Address - Country:US
Practice Address - Phone:503-320-7136
Practice Address - Fax:971-206-6624
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRITTANY RUSS' CLINICAL SOCIAL WORK AND THERAPY SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-13
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty