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NEW PHOEBE HOUSE ASSOCIATION NPI 1184159816


NPI Information

NPI: 1184159816
Provider Name: NEW PHOEBE HOUSE ASSOCIATION

Other Name: HOLISTIC RECOVERY FOR MOTHERS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1001 YAKIMA AVE STE 14
TACOMA, WA
ZIP 98405
Phone: (253) 267-5402
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NEW PHOEBE HOUSE ASSOCIATION is a mental health (including community mental health center) clinic center in Tacoma, WA. NEW PHOEBE HOUSE ASSOCIATION NPI is 1184159816. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Holistic Recovery For Mothers.

The provider's business location address is:

1001 YAKIMA AVE STE 14
TACOMA, WA
ZIP 98405-869
Phone: (253) 267-5402
Fax: (253) 328-7301

The provider's authorized official is Rena Kay Thompson .
The authorized official title is Program Director and has the following contact phone number (253) 433-2321.

The enumeration date for this NPI number is 5/1/2017 and was last updated on 9/6/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)COLORADONo
2101YM0800XCounselorMental HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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
11184159816MEDICAIDWASHINGTON

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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