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COPPEDGE PSYCHOTHERAPY INC NPI 1083995740


NPI Information

NPI: 1083995740
Provider Name: COPPEDGE PSYCHOTHERAPY INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
20102 CEDAR VALLEY RD
SUITE 107
LYNNWOOD, WA
ZIP 98036
Phone: (425) 670-2102
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COPPEDGE PSYCHOTHERAPY INC is a community behavioral health in Lynnwood, WA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COPPEDGE PSYCHOTHERAPY INC NPI is 1083995740. The provider is registered as an organization entity type.

The provider's business location address is:

20102 CEDAR VALLEY RD
SUITE 107
LYNNWOOD, WA
ZIP 98036-333
Phone: (425) 670-2102
Fax: (425) 670-8081

The provider's authorized official is Kristie Jo Coppedge .
The authorized official title is Owner and has the following contact phone number (425) 670-2102.

The enumeration date for this NPI number is 9/7/2011 and was last updated on 10/27/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthLW00007408WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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