TELECARE MENTAL HEALTH SERVICES OF WASHINGTON INC NPI 1134737737

NPI Information

NPI: 1134737737
Provider Name: TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC

Doing Business As: TELECARE SHELTON NEXT STEPS

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

Address:
307 W COTA ST
SHELTON, WA
ZIP 98584
Phone: (360) 205-8010
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TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC is a community based residential treatment facility mental illness in Shelton, WA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC NPI is 1134737737. The provider is registered as an organization entity type.
The provider Is Doing Business As Telecare Shelton Next Steps.

The provider's business location address is:

307 W COTA ST
SHELTON, WA
ZIP 98584-265
Phone: (360) 205-8010

The provider's authorized official is Leslie Davis .
The authorized official title is Svp, Cfo and has the following contact phone number (510) 337-7950.

The CLIA number assigned to this NPI record is 50D2173522 - other - emergency and trauma with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2020 and was last updated on 12/14/2021.

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	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes
2	323P00000X	Psychiatric Residential Treatment Facility				No

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: 5/5/2024

NPI Synchronization or Removal

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