WELLNESS COUNSELING SERVICES PLLC NPI 1396216974

NPI Information

NPI: 1396216974
Provider Name: WELLNESS COUNSELING SERVICES PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
7406 27TH ST W
UNIVERSITY PLACE, WA
ZIP 98466
Phone: (253) 244-1410
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WELLNESS COUNSELING SERVICES PLLC is a mental health counselor in University Place, WA. WELLNESS COUNSELING SERVICES PLLC NPI is 1396216974. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7406 27TH ST W
UNIVERSITY PLACE, WA
ZIP 98466-632
Phone: (253) 244-1410

The provider's authorized official is Katreace Katrell Moore .
The authorized official title is Owner/clinical Supervisor and has the following contact phone number (253) 244-1410.

The enumeration date for this NPI number is 12/8/2018 and was last updated on 5/9/2023.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			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	2111590	MEDICAID	WASHINGTON

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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