Teresa Collett, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

603121773 Issued in WA

Legal business name

TERESA COLLETT, LLC.

Doing business as

Accountable Future

Practice address

3208 50TH Street CT NW
BLDG. C Suite #200
Gig Harbor, WA 98335-8590

Phone

(888) 868-6952

Fax

(360) 362-7492

NPI assigned

Dec 5, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Teresa D Collett, PSYD.

Title

Ceo/Psychologist

Phone

(888) 868-6952

Specialties & licenses 1

Addresses

Other names 1

• Accountable Future Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1982035630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 NW BUCKLIN HILL RD",
            "address_2": "SUITE #211",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838514",
            "telephone_number": "888-868-6952",
            "fax_number": "360-362-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 50TH STREET CT NW",
            "address_2": "BLDG. C SUITE #200",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358590",
            "telephone_number": "888-868-6952",
            "fax_number": "360-362-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA COLLETT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "COLLETT",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/PSYCHOLOGIST",
        "authorized_official_telephone_number": "888-868-6952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "603121773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accountable Future",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.