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PROSPERITY COUNSELING & TREATMENT SVCS NPI 1972634939


NPI Information

NPI: 1972634939
Provider Name: PROSPERITY COUNSELING & TREATMENT SVCS

Doing Business As: PROSPERITY WELLNESS CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 50D2104237

Address:
5001 112TH ST E
TACOMA, WA
ZIP 98446
Phone: (714) 828-1800
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PROSPERITY COUNSELING & TREATMENT SVCS is a substance abuse rehabilitation facility in Tacoma, WA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PROSPERITY COUNSELING & TREATMENT SVCS NPI is 1972634939. The provider is registered as an organization entity type.
The provider Is Doing Business As Prosperity Wellness Center.

The provider's business location address is:

5001 112TH ST E
TACOMA, WA
ZIP 98446-307
Phone: (714) 828-1800
Fax: (714) 882-1186

The provider's authorized official is Magdalen Gustilo .
The authorized official title is Director Of Payer Relations and has the following contact phone number (714) 568-7667.

The CLIA number assigned to this NPI record is 50D2104237 - other - drug treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 5/8/2023.


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
1324500000XSubstance Abuse Rehabilitation FacilityRTF1042WASHINGTONYes

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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