PEACEHAVEN BEHAVIORAL CENTER LLC
NPI 1649847591
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR

Q: What is Peacehaven Behavioral Center LLC's NPI number?

The NPI number for Peacehaven Behavioral Center LLC is 1649847591. It was assigned to this organization in the NPPES registry on June 9, 2021.

Q: What is Peacehaven Behavioral Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since June 09, 2021

2175 NW RALEIGH ST STE 110, PORTLAND, OR 97210(737) 231-0823 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Peacehaven Behavioral Center Llc NPPES

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

PEACEHAVEN BEHAVIORAL CENTER LLC (NPI 1649847591) is a healthcare organization registered as a mental health (including community mental health center) in Portland, Oregon and active in the NPI registry since June 2021. The organization maintains 2 additional practice locations and lists Peace Ibeawuchi Banks, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1649847591

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NamePEACEHAVEN BEHAVIORAL CENTER LLC

Location Address2175 NW RALEIGH ST STE 110Portland, OR 97210-2392

Mailing Address3916 N Potsdam AveSioux Falls, SD 57104-7048 · (737) 231-0823

Phone(737) 231-0823

Organization SubpartNo

Authorized OfficialPeace Ibeawuchi BanksPmhnp · (336) 991-3491

Enumeration DateJune 9, 2021

Last NPPES UpdateOctober 17, 2024

NPPES CertifiedOctober 17, 2024

✔ NPI 1649847591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

2175 NW RALEIGH ST STE 110, Portland, OR 97210

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Secondary Practice Locations 2

Location 166 Club Rd Ste And300Eugene, OR 97401-2420 · Phone (541) 393-5983 · Fax (541) 393-5984

Location 21013 Grand National BlvdFort Worth, TX 76179-2339 · Phone (737) 231-0823

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATLYN WOLF RD, LD

Dietitian, Registered