Soul Care Center of the West Coast
Organization Active NPI Mental Health Counselor · Granger, WA
NPI 1750100988 · NPPES record last updated Oct 15, 2024
Key facts
- NPI
- 1750100988
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- SOUL CARE CENTER OF THE WEST COAST
- Practice address
- 120 Van Belle Rd
Granger, WA 98932-9767 - Phone
- (509) 303-5775
- NPI assigned
- Oct 4, 2024
- Organization subpart
- No
Authorized official
- Name
- Mrs. Emily Violet Vickerman, LMHCA
- Title
- Therapist/Co-Owner
- Phone
- (509) 594-4917
Practitioners 1
-
Taylor Vickerman, LMHCA
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
120 Van Belle Rd
Granger, WA 98932-9767
Mailing address
120 Van Belle Rd
Granger, WA 98932-9767
Phone (509) 594-4917
Other providers in Granger, WA
- Granger School District
- M.R.J. N Associates
- Motivational and Engagement Services
- Mirka Laura Perez
- Seventy X 7 Support Service
- Heather Marie Stickle
- Maria Valencia
- Taylor Vickerman
- Jennifer Wyrick
- Yakima Neighborhood Health Services
All providers in Granger, 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 Oct 15, 2024. 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.