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CREATIVE CHANGE COUNSELING CENTER NPI 1386068617


NPI Information

NPI: 1386068617
Provider Name: CREATIVE CHANGE COUNSELING CENTER
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
200 S TOBIN ST STE A
RENTON, WA
ZIP 98057
Phone: (425) 255-5526
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CREATIVE CHANGE COUNSELING CENTER is a counselor in Renton, 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. CREATIVE CHANGE COUNSELING CENTER NPI is 1386068617. The provider is registered as an organization entity type.

The provider's business location address is:

200 S TOBIN ST STE A
RENTON, WA
ZIP 98057-338
Phone: (425) 255-5526
Fax: (425) 255-5523

The provider's authorized official is Katie Wilson .
The authorized official title is Admin Asst and has the following contact phone number (425) 255-5526.

The enumeration date for this NPI number is 2/6/2014 and was last updated on 2/6/2014.


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
1251S00000XCommunity/Behavioral HealthCL60152004WASHINGTONNo
2101Y00000XCounselorCL60152004WASHINGTONYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.