EASTSIDE ADDICTION PROFESSIONALS NPI 1013109966

NPI Information

NPI: 1013109966
Provider Name: EASTSIDE ADDICTION PROFESSIONALS

Doing Business As: EASTSIDE CENTER FOR FAMILY

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1450 114TH AVE SE
STE 100
BELLEVUE, WA
ZIP 98004
Phone: (425) 462-8558
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EASTSIDE ADDICTION PROFESSIONALS is a mental health counselor in Bellevue, WA. EASTSIDE ADDICTION PROFESSIONALS NPI is 1013109966. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eastside Center For Family.

The provider's business location address is:

1450 114TH AVE SE
STE 100
BELLEVUE, WA
ZIP 98004-962
Phone: (425) 462-8558

The provider's authorized official is Laura Halford .
The authorized official title is Owner and has the following contact phone number (425) 462-8558.

The enumeration date for this NPI number is 8/15/2007 and was last updated on 8/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	17109700	WASHINGTON	No
2	101YM0800X	Counselor	Mental Health	LH00010662	WASHINGTON	No
3	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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