Quileute Counseling and Recovery Mental Health
Organization Active NPI Mental Health Counselor · La Push, WA
NPI 1225596232 · NPPES record last updated Mar 8, 2019
Key facts
- NPI
- 1225596232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- QUILEUTE COUNSELING AND RECOVERY MENTAL HEALTH
- Practice address
- 560 Quileute Heights Loop
La Push, WA 98350 - Phone
- (360) 374-3358
- NPI assigned
- Mar 8, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- QUILEUTE TRIBAL COUNCIL
Authorized official
- Name
- Gary Bryan Goodwin
- Title
- Billing Agency
- Phone
- (360) 867-0709
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Quileute Counseling and Recovery Mental Health
- Part of
- Quileute Counseling and Recovery Mental Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
560 Quileute Heights Loop
La Push, WA 98350
Mailing address
PO Box 189
La Push, WA 98350-0189
Phone (360) 374-3358
Other names
- Quileute Counseling and Recovery Mental Health
Other providers in La Push, WA
- Nicole Andrea Heckenlaible
- Tara Amber Nicole Huggins
- Leticia Jaime
- James Michael Lesniak
- Sarah Marie Neel
- Quileute Tribal Council
- Quileute Tribal Council
All providers in La Push, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2019. 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.