CLEAR WINDS COUNSELING COUNSULTING GROUP, LLC


Address: 116 N Main St, Deer Park, WA 99006-2294
Phone: 5099397720

CLEAR WINDS COUNSELING COUNSULTING GROUP, LLC (NPI# 1164607206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164607206
Entity Type Organization
Organization Name CLEAR WINDS COUNSELING COUNSULTING GROUP, LLC
Practice Address 116 N Main St
Deer Park
WA 99006-2294
Mailing Address Po Box 2294
116 N Main
Deer Park
WA 99006-2294
Practice Telephone 5099397720
Practice Fax Number 5092762774
Mailing Telephone 5099397720
Mailing Fax Number 5092762774
Enumeration Date 2008-01-08
Last Update Date 2008-01-08
Authorized Official Name MR. DERAC L KRUMM (ADMIN PARTNER)
Authorized Official Telephone 5099397720
Authorized Official Credential MA MHCT ADMIN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
WA Ambulatory Health Care Facilities

Office Location

Street Address 116 N MAIN ST
City DEER PARK
State WA
Zip Code 99006-2294

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1710221494 Lori Tetsuro Mcdonald Hearing Instrument Specialist 23 E Crawford St, Suite D, Deer Park, WA 99006 2012-11-19
1952675076 Debra Kay Keller Pharmacist 412 S Main, Deer Park, WA 99006 2012-03-07
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1487818324 Bi-mart Corporation Durable Medical Equipment & Medical Supplies 412 S. Main Avenue, Deer Park, WA 99006 2008-07-10
1912104498 Melissa Ann Mccollough Massage Therapist 20 East J Street Suite B, Deer Park, WA 99006 2007-06-28
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1588278394 Makenzie Muilenburg Counseling Clinic/Center 271 Ne 45th St, Seattle, WA 98105-6147 2020-08-31
1477163160 Columbia Valley Community Health Clinic/Center 504 Orondo Ave Ste A, Wenatchee, WA 98801-2830 2020-08-06
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1801405642 United Early Learning & Family Center LLC Clinic/Center 106 N Elm St, Grandview, WA 98930-1009 2020-07-28
1972111201 Core Psychology Group Pllc Clinic/Center 6325 17th Ave Nw, Seattle, WA 98107-2320 2020-07-22
1114535853 Behind The Mask Therapy Clinic/Center 1908 Nw 4th Ave, Battle Ground, WA 98604-6823 2020-07-20
1386262376 Everwell Counseling Pllc Clinic/Center 306 E 18th Ave, Spokane, WA 99203-2217 2020-07-07
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Competitor

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City DEER PARK
Zip Code 99006

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Dataset Information

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.

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