PROFESSIONAL RECREATION ORGANIZATION INC. NPI 1235575861

NPI Information

NPI: 1235575861
Provider Name: PROFESSIONAL RECREATION ORGANIZATION, INC.

Doing Business As: PRO SPORTS CLUB

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4455 148TH AVE NE
BELLEVUE, WA
ZIP 98007
Phone: (425) 869-4746
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PROFESSIONAL RECREATION ORGANIZATION, INC. is a mental health counselor in Bellevue, WA. PROFESSIONAL RECREATION ORGANIZATION, INC. NPI is 1235575861. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pro Sports Club.

The provider's business location address is:

4455 148TH AVE NE
BELLEVUE, WA
ZIP 98007-120
Phone: (425) 869-4746
Fax: (425) 869-5285

The provider's authorized official is Debbie Becker .
The authorized official title is Sr Director Of Accounting and has the following contact phone number (425) 869-4746.

The enumeration date for this NPI number is 5/22/2013 and was last updated on 8/7/2017.

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	103T00000X	Psychologist		600541508	WASHINGTON	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	600541508	WASHINGTON	No
3	101YM0800X	Counselor	Mental Health	600541508	WASHINGTON	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

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