BLACK SWAN HEALING LLC - NPI 1023849882 - Counselor in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Black Swan Healing Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK SWAN HEALING LLC (NPI 1023849882) is a healthcare organization registered as a mental health in Portland, Oregon and active in the NPI registry since August 2024. The organization lists Nicholas A Mcgee, Counselor/owner, as its authorized official.

NPPES Registry Identity

NPI1023849882

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameBLACK SWAN HEALING LLC

Location Address5441 S MACADAM AVE STE NPortland, OR 97239-6106

Mailing Address5441 S Macadam Ave Ste NPortland, OR 97239-6106 · (360) 393-2125

Phone(971) 268-7462

Fax(971) 202-9584

Organization SubpartNo

Authorized OfficialNicholas A McgeeCounselor/owner · (360) 393-2125

Enumeration DateAugust 12, 2024

Last NPPES UpdateFebruary 3, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2025

✔ NPI 1023849882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

5441 S MACADAM AVE STE N, Portland, OR 97239

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP