Malea Ball
Individual provider Active NPI Counselor · Longview, WA
NPI 1073399663 · NPPES record last updated Sep 7, 2023
Key facts
- NPI
- 1073399663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 720 14TH Ave
Longview, WA 98632-2315 - Phone
- (360) 423-0203
- Fax
- (360) 577-0187
- NPI assigned
- Sep 7, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Wellness | Current |
Accepting new patients |
Locations
720 14th Ave
Longview, WA 98632
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
720 14TH Ave
Longview, WA 98632-2315
Mailing address
PO Box 1847
Longview, WA 98632-8140
Phone (360) 423-0203
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.