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A CHANGE COUNSELING CENTER INC. NPI 1457458721


NPI Information

NPI: 1457458721
Provider Name: A CHANGE COUNSELING CENTER INC.
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
4002 S M ST STE C
TACOMA, WA
ZIP 98418
Phone: (253) 473-1844
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A CHANGE COUNSELING CENTER INC. is a counselor in Tacoma, WA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. A CHANGE COUNSELING CENTER INC. NPI is 1457458721. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4002 S M ST STE C
TACOMA, WA
ZIP 98418-800
Phone: (253) 473-1844
Fax: (253) 473-1839

The provider's authorized official is Melinda J Broussard .
The authorized official title is Office Manager and has the following contact phone number (253) 473-1844.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorCP00000521WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11328OTHERWASHINGTONPREMERA BLUE CROSS ID

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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