GEOVANNA ALEXIS CARRASCO
NPI 1750843934
Counselor - Mental Health in Tigard, OR
Active since April 04, 2019
About Geovanna Alexis Carrasco NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEOVANNA ALEXIS CARRASCO (NPI 1750843934) is an individual mental health provider in Tigard, Oregon and active in the NPI registry since April 2019. She maintains 2 additional practice locations.
NPPES Registry Identity
NPI1750843934
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGEOVANNA ALEXIS CARRASCO
Location Address8915 SW CENTER STTigard, OR 97223-6307
Mailing Address8915 Sw Center StTigard, OR 97223-6307 · (503) 726-3690
Phone(503) 726-3690
Sole ProprietorNo
Enumeration DateApril 4, 2019
Last NPPES UpdateJuly 7, 20213 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
✔ NPI 1750843934 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedBehavior TechnicianTaxonomy 106S00000X
8915 SW CENTER ST, Tigard, OR 97223
Secondary Practice Locations 2
Location 19115 SW Oleson Rd Ste 100Portland, OR 97223-6876 · Phone (971) 236-0915
Location 26939 SE 116th AvePortland, OR 97266-4988 · Phone (909) 731-2356
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750843934, enumerated as an "individual" on April 04, 2019.
The provider is located at 8915 SW CENTER ST TIGARD, OR 97223 and the phone number is (503) 726-3690.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
