CREATIVE CHANGE COUNSELING CENTER NPI 1811200173

NPI Information

  • NPI: 1811200173
  • Provider Name: CREATIVE CHANGE COUNSELING CENTER
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 220 SW BLVD.
    SUITE B102
    RENTON, WA
    ZIP 98057
  • Phone: (425) 255-5526

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NPI Details

CREATIVE CHANGE COUNSELING CENTER is a community behavioral health in Renton, WA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CREATIVE CHANGE COUNSELING CENTER NPI is 1811200173. The provider is registered as an organization entity type.

The provider's business location address is:

220 SW BLVD.
SUITE B102
RENTON, WA
ZIP 98057-158
Phone: (425) 255-5526
Fax: (425) 255-5523

The provider's authorized official is Forest Edwin Woodley .
The authorized official title is Ceo and has the following contact phone number (425) 255-5526.

The enumeration date for this NPI number is 7/15/2010 and was last updated on 7/15/2010.

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
1251B00000XCase Management221WASHINGTONNo
2251S00000XCommunity/Behavioral Health17149100WASHINGTONYes

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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