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FIRST STEP COMMUNITY COUNSELING SERVICES LLC NPI 1548491970


NPI Information

NPI: 1548491970
Provider Name: FIRST STEP COMMUNITY COUNSELING SERVICES LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 50D2180848

Address:
415 N MORAIN ST
KENNEWICK, WA
ZIP 99336
Phone: (509) 735-6900
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FIRST STEP COMMUNITY COUNSELING SERVICES LLC is a rehabilitation and substance use disorder clinic center in Kennewick, WA. FIRST STEP COMMUNITY COUNSELING SERVICES LLC NPI is 1548491970. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

415 N MORAIN ST
KENNEWICK, WA
ZIP 99336-667
Phone: (509) 735-6900
Fax: (509) 735-6914

The provider's authorized official is Sara Clark .
The authorized official title is Program Director and has the following contact phone number (509) 735-6900.

The CLIA number assigned to this NPI record is 50D2180848 - other - drug treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2009 and was last updated on 1/31/2019.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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
12002254MEDICAIDWASHINGTON

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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