Active NPI
Vital Changes Treatment, Inc
- Addiction (Substance Use Disorder) Counselor
- Renton, WA
National Provider Identifier
1871756494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- VITAL CHANGES TREATMENT, INC
- Practice address
- 451 SW 10TH Street
Suite 100
Renton, WA 98057 - Phone
- (425) 336-4708
- Fax
- (425) 336-2808
- NPI assigned
- Jul 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Terry G Woodland
- Title
- President
- Phone
- (425) 336-4708
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
451 SW 10TH Street
Suite 100
Renton, WA 98057
Mailing address
451 SW 10TH Street
Suite 100
Renton, WA 98057
Phone (425) 336-4708
Other names 1
- Vita Wellness & Recovery
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390521600000",
"number": "1871756494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 SW 10TH STREET",
"address_2": "SUITE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "98057",
"telephone_number": "425-336-4708",
"fax_number": "425-336-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 SW 10TH STREET",
"address_2": "SUITE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "98057",
"telephone_number": "425-336-4708",
"fax_number": "425-336-2808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL CHANGES TREATMENT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-03",
"last_updated": "2014-01-24",
"status": "A",
"authorized_official_last_name": "WOODLAND",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "425-336-4708",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vita Wellness & Recovery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.