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PENINSULA COUNSELING LLC NPI 1972085835


NPI Information

NPI: 1972085835
Provider Name: PENINSULA COUNSELING, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 50D1071086

Address:
3214 50TH STREET CT NW STE D-305
GIG HARBOR, WA
ZIP 98335
Phone: (253) 851-4600
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PENINSULA COUNSELING, LLC is a substance abuse rehabilitation facility in Gig Harbor, WA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PENINSULA COUNSELING, LLC NPI is 1972085835. The provider is registered as an organization entity type.

The provider's business location address is:

3214 50TH STREET CT NW STE D-305
GIG HARBOR, WA
ZIP 98335-589
Phone: (253) 851-4600
Fax: (253) 851-4602

The provider's authorized official is Burl Burt Buskirk .
The authorized official title is Owner and has the following contact phone number (253) 851-4600.

The CLIA number assigned to this NPI record is 50D1071086 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/6/2018 and was last updated on 9/6/2018.


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
1324500000XSubstance Abuse Rehabilitation Facility146100WASHINGTONYes

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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