COUNSELING SERVICES OF WALLA WALLA NPI 1114386711

NPI Information

NPI: 1114386711
Provider Name: COUNSELING SERVICES OF WALLA WALLA
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
127 E ROSE ST
SUITE M
WALLA WALLA, WA
ZIP 99362
Phone: (509) 876-0100
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COUNSELING SERVICES OF WALLA WALLA is a point of service in Walla Walla, WA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. COUNSELING SERVICES OF WALLA WALLA NPI is 1114386711. The provider is registered as an organization entity type.

The provider's business location address is:

127 E ROSE ST
SUITE M
WALLA WALLA, WA
ZIP 99362-009
Phone: (509) 876-0100
Fax: (509) 876-0101

The provider's authorized official is Marti K Bradley .
The authorized official title is Owner and has the following contact phone number (509) 876-0100.

The enumeration date for this NPI number is 2/11/2016 and was last updated on 2/11/2016.

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
1	305S00000X	Point of Service		LW00006668	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1041C0700X	OTHER	WASHINGTON	TAXONOMY
2	LW00006668	OTHER	WASHINGTON	LICSW LICENSE
3	603-575-701	OTHER	WASHINGTON	UBI

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

NPI Synchronization or Removal

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