KITSAP FAMILY WELLNESS LLC NPI 1104397033

NPI Information

NPI: 1104397033
Provider Name: KITSAP FAMILY WELLNESS LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3587 NW ANDERSON HILL RD
SILVERDALE, WA
ZIP 98383
Phone: (360) 434-7097
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KITSAP FAMILY WELLNESS LLC is a mental health counselor in Silverdale, WA. KITSAP FAMILY WELLNESS LLC NPI is 1104397033. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3587 NW ANDERSON HILL RD
SILVERDALE, WA
ZIP 98383-130
Phone: (360) 434-7097
Fax: (360) 698-5967

The provider's authorized official is Sandra Quinn .
The authorized official title is Office Manager and has the following contact phone number (360) 434-7097.

The enumeration date for this NPI number is 12/17/2018 and was last updated on 12/17/2018.

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
1	101YM0800X	Counselor	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	1881018406	OTHER	WASHINGTON	NPI

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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