Provider Demographics
NPI:1699591776
Name:ANABRANCH COUNSELING LLC
Entity type:Organization
Organization Name:ANABRANCH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ZOE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BURGHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-361-8042
Mailing Address - Street 1:833 SW 11TH AVE STE 1018
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-2124
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:833 SW 11TH AVE STE 1018
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2124
Practice Address - Country:US
Practice Address - Phone:971-361-8042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-23
Last Update Date:2024-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty