| Wellness Counseling Services Pllc | |
|
7406 27th St W University Place WA 98466-4632 | |
| (253) 244-1410 | |
| Not Available |
| Full Name | Wellness Counseling Services Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7406 27th St W, University Place, Washington |
| Authorized Official Name and Position | Katreace Katrell Moore (OWNER/CLINICAL SUPERVISOR) |
| Authorized Official Contact | 2532441410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Counseling Services Pllc 7406 27th St W University Place WA 98466-4632 Ph: (253) 244-1410 | Wellness Counseling Services Pllc 7406 27th St W University Place WA 98466-4632 Ph: (253) 244-1410 |
| NPI Number | 1396216974 |
|---|---|
| Provider Enumeration Date | 12/08/2018 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396216974 | NPI | - | NPPES |
| 2111590 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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