COMMUNITY LIFE COUNSELING SERVICES NPI 1578158077

NPI Information

NPI: 1578158077
Provider Name: COMMUNITY LIFE COUNSELING SERVICES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
612 113TH ST S
TACOMA, WA
ZIP 98444
Phone: (253) 301-8140
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COMMUNITY LIFE COUNSELING SERVICES is a mental health counselor in Tacoma, WA. COMMUNITY LIFE COUNSELING SERVICES NPI is 1578158077. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

612 113TH ST S
TACOMA, WA
ZIP 98444-902
Phone: (253) 301-8140

The provider's authorized official is Emmanuel Villarivera .
The authorized official title is Clinical Director and has the following contact phone number (253) 301-8140.

The enumeration date for this NPI number is 3/5/2021 and was last updated on 3/5/2021.

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	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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