1538470380 NPI number — OLYMPIA COUNSELING SERVICES LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538470380 NPI number — OLYMPIA COUNSELING SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OLYMPIA COUNSELING SERVICES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1538470380
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/27/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1610 BISHOP RD SW
Provider Second Line Business Mailing Address:
SUITE 105
Provider Business Mailing Address City Name:
TUMWATER
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98512-7303
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-357-2370
Provider Business Mailing Address Fax Number:
360-357-2374

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1610 BISHOP RD SW
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
TUMWATER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98512-7303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-357-2370
Provider Business Practice Location Address Fax Number:
360-357-2374
Provider Enumeration Date:
06/27/2010

Additional Information

Authorized Official

Authorized Official Last Name:
MCADAMS HAMILTON
Authorized Official First Name:
CARY
Authorized Official Middle Name:
HEATHER
Authorized Official Title or Position:
OWNER/PARTNER
Authorized Official Telephone Number:
360-357-2370

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  LH60130152 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com