BEACH SIDE COUNSELING PLLC NPI 1881233575

NPI Information

NPI: 1881233575
Provider Name: BEACH SIDE COUNSELING PLLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
811 PACIFIC AVE S STE 7
LONG BEACH, WA
ZIP 98631
Phone: (503) 440-3032
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BEACH SIDE COUNSELING PLLC is an adult mental health clinic center in Long Beach, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. BEACH SIDE COUNSELING PLLC NPI is 1881233575. The provider is registered as an organization entity type.

The provider's business location address is:

811 PACIFIC AVE S STE 7
LONG BEACH, WA
ZIP 98631-544
Phone: (503) 440-3032

The provider's authorized official is Windy Drega .
The authorized official title is Credentialing, Contracting, Billing and has the following contact phone number (360) 214-0749.

The enumeration date for this NPI number is 12/30/2019 and was last updated on 12/30/2019.

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
1	261QM0850X	Clinic/Center	Adult 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	2139431	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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