Provider Demographics
NPI:1992558373
Name:TRUE NORTH INTEGRATIVE COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:TRUE NORTH INTEGRATIVE COUNSELING SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:M.H. COUNSELOR/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DANZUKA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MFT, MSW, CSWA
Authorized Official - Phone:503-949-4119
Mailing Address - Street 1:2326 SW GLACIER PL
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-7626
Mailing Address - Country:US
Mailing Address - Phone:503-949-4119
Mailing Address - Fax:
Practice Address - Street 1:2326 SW GLACIER PL
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-7626
Practice Address - Country:US
Practice Address - Phone:503-949-4119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No171R00000XOther Service ProvidersInterpreterGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No405300000XOther Service ProvidersPrevention ProfessionalGroup - Multi-Specialty