PROFESSIONAL RECREATION ORGANIZATION INC. NPI 1235575861

NPI Information

  • NPI: 1235575861
  • Provider Name: PROFESSIONAL RECREATION ORGANIZATION, INC.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: PRO SPORTS CLUB
  • Address: 4455 148TH AVE NE
    BELLEVUE, WA
    ZIP 98007
  • Phone: (425) 869-4746

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NPI Details

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
1103T00000XPsychologist600541508WASHINGTONNo
22084P0800XPsychiatry & NeurologyPsychiatry600541508WASHINGTONNo
3101YM0800XCounselorMental Health600541508WASHINGTONYes

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: 11/21/2025

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