1215364237 NPI number — MRS. ARGYRO JULIE MOUSTAKAS LMHC

Table of content: MRS. ARGYRO JULIE MOUSTAKAS LMHC (NPI 1215364237)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215364237 NPI number — MRS. ARGYRO JULIE MOUSTAKAS LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MOUSTAKAS
Provider First Name:
ARGYRO
Provider Middle Name:
JULIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215364237
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/04/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1498 SE TECH CENTER PL
Provider Second Line Business Mailing Address:
SUITE 385
Provider Business Mailing Address City Name:
VANCOUVER
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98683-9591
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-933-0598
Provider Business Mailing Address Fax Number:
360-326-9691

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1498 SE TECH CENTER PL
Provider Second Line Business Practice Location Address:
SUITE 385
Provider Business Practice Location Address City Name:
VANCOUVER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98683-9591
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-933-0598
Provider Business Practice Location Address Fax Number:
360-326-9691
Provider Enumeration Date:
10/04/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  LH60400350 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251S00000X , with the licence number: CG60210325 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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