BRANDY OTO COUNSELING NPI 1720612112

NPI Information

NPI: 1720612112
Provider Name: BRANDY OTO COUNSELING

Doing Business As: THRIVE WELLNESS CLINIC

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
27203 216TH AVE SE STE 5
MAPLE VALLEY, WA
ZIP 98038
Phone: (425) 310-2460
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BRANDY OTO COUNSELING is a rehabilitation and substance use disorder clinic center in Maple Valley, WA. BRANDY OTO COUNSELING NPI is 1720612112. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Thrive Wellness Clinic.

The provider's business location address is:

27203 216TH AVE SE STE 5
MAPLE VALLEY, WA
ZIP 98038-273
Phone: (425) 310-2460

The provider's authorized official is Brandy L Oto .
The authorized official title is Owner and has the following contact phone number (425) 584-7570.

The enumeration date for this NPI number is 2/25/2020 and was last updated on 9/21/2021.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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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