Provider Demographics
NPI:1972285641
Name:PLUME COUNSELING
Entity type:Organization
Organization Name:PLUME COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MARRIAGE FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TATIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:COUNDOUL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:949-414-9623
Mailing Address - Street 1:6815 N VANCOUVER AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-1744
Mailing Address - Country:US
Mailing Address - Phone:949-414-9623
Mailing Address - Fax:503-961-1453
Practice Address - Street 1:6815 N VANCOUVER AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-1744
Practice Address - Country:US
Practice Address - Phone:949-414-9623
Practice Address - Fax:503-961-1453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health