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PACIFIC COUNSELING SERVICES NPI 1558841361


NPI Information

NPI: 1558841361
Provider Name: PACIFIC COUNSELING SERVICES
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 50D2265211

Address:
1801 1ST AVE STE 2B6
LONGVIEW, WA
ZIP 98632
Phone: (360) 931-0937
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PACIFIC COUNSELING SERVICES is a community behavioral health in Longview, 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. PACIFIC COUNSELING SERVICES NPI is 1558841361. The provider is registered as an organization entity type.

The provider's business location address is:

1801 1ST AVE STE 2B6
LONGVIEW, WA
ZIP 98632-270
Phone: (360) 931-0937
Fax: (360) 353-3232

The provider's authorized official is Renee Ducharme-brodie .
The authorized official title is Behavioral Therapist/owner and has the following contact phone number (360) 931-0937.

The CLIA number assigned to this NPI record is 50D2265211 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2018 and was last updated on 8/21/2018.


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 HealthLH60149240WASHINGTONYes

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
12102397MEDICAIDWASHINGTON

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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