| NPI | 1649905662 |
|---|---|
| Doing Business As | PORTAL WELLNESS COLLECTIVE |
| Entity Type | Organization |
| Authorized Contact | ERIKA C NELSON Owner 360-672-0618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2025-06-10 |