WELLNESS COUNSELING SERVICES LLC (NPI# 1396216974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396216974 |
| Entity Type | Organization |
| Organization Name | WELLNESS COUNSELING SERVICES LLC |
| Practice Address |
19309 68th Avenue South R101-c105 Kent WA 98032-2105 |
| Mailing Address |
Po Box 45021 Tacoma WA 98448-5021 |
| Practice Telephone | 2533636698 |
| Mailing Telephone | 2533636698 |
| Enumeration Date | 2018-12-08 |
| Last Update Date | 2018-12-08 |
| Authorized Official Name | KATREACE KATRELL MOORE (OWNER/CLINICAL SUPERVISOR) |
| Authorized Official Telephone | 2533636698 |
| Authorized Official Credential | CDP, MS-P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2111590 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WELLNESS COUNSELING SERVICES LLC | 608 Lancaster Drive, Salem, OR 97317 |
| Street Address |
19309 68TH AVENUE SOUTH R101-C105 |
| City | KENT |
| State | WA |
| Zip Code | 98032-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952866790 | Cornerstone Ocd Anxiety | Counselor | 415 Railroad Ave S, Kent, WA 98032 | 2019-02-06 |
| 1861962458 | Mohamed Osman Awad | Counselor | 124 4th Ave S Suite 230, Kent, WA 98032 | 2018-11-27 |
| 1649747387 | Hannah Grace Rosborough | Counselor | 19435 68th Ave S Bldg S Ste 109, Kent, WA 98032 | 2018-10-31 |
| 1063948164 | Teasya Kusumo | Marriage & Family Therapist | 232 2nd Avenue S., Suite 201, Kent, WA 98032 | 2017-05-10 |
| 1902331648 | Heather Kunce | Marriage & Family Therapist | 232 Second Ave S, Ste 201, Kent, WA 98032 | 2017-05-01 |
| 1043761489 | Julia Kocian | Social Worker | 1601 W Meeker St., #201, Sea Mar Kent Behavioral Health, Kent, WA 98032 | 2016-10-20 |
| 1760938518 | Phoeun Sath | Community Health Worker | 24328 Pacific Hwy, Kent, WA 98032 | 2016-08-31 |
| 1891241568 | Live Well Alliance, LLC | Counselor | 1103 W. Meeker Street #102, Kent, WA 98032 | 2016-08-31 |
| 1760938070 | Seattle Cpap | Durable Medical Equipment & Medical Supplies | 25329 74th Ave S, Kent, WA 98032 | 2016-08-28 |
| 1750736401 | William Dale | Technician, Other | 6302 S 238th Pl, Apt U205, Kent, WA 98032 | 2016-05-02 |
| Find all providers in zip 98032 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041048 | Shawna Lynn Mokler | Counselor | 841 Central Ave N Ste 215, Kent, WA 98032-2014 | 2020-10-22 |
| 1417426735 | Leonard James Irving Sr. | Counselor | 3407 S 253rd St, Kent, WA 98032-9746 | 2018-11-15 |
| 1649747387 | Hannah Grace Rosborough | Counselor | 19435 68th Ave S Bldg S Ste 109, Kent, WA 98032 | 2018-10-31 |
| 1548755853 | Winter Nicole Finch | Counselor | 21851 84th Ave S Ste 101, Kent, WA 98032-1958 | 2018-06-28 |
| 1851892541 | Kortni M Collins | Counselor | 785 Silver Meadows Blvd, Kent, OH 44240-1919 | 2018-02-27 |
| 1740798081 | Mason Brain Yoder | Counselor | 1025 Erin Drive, Kent, OH 44240 | 2018-01-22 |
| 1750732921 | Janice Melinda Davis | Counselor | 5624 S 231st Pl, Kent, WA 98032-6409 | 2016-06-28 |
| 1093111585 | Antony Lolo Xczar | Counselor | 325 W Gowe Street, Kent, WA 98032 | 2014-11-10 |
| 1609290535 | Clara Saeteurn | Counselor | 14024 Se 280th Pl, Kent, WA 98042-7413 | 2014-02-12 |
| 1558702936 | Laura Nicole Edelstein | Counselor | 19435 68th Ave S Ste S109, Kent, WA 98032-2114 | 2013-07-12 |
| Find all providers in KENT | ||||
Please comment or provide details below to improve the information on WELLNESS COUNSELING SERVICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.