KRAVE LYFE MENTAL HEALTH COUNSELING (NPI# 1467074609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467074609 |
Entity Type | Organization |
Organization Name | KRAVE LYFE MENTAL HEALTH COUNSELING |
Practice Address |
6326 Martin Way E Ste 200 Lacey WA 98516-5570 |
Practice Telephone | 2532235578 |
Mailing Telephone | 2532235578 |
Enumeration Date | 2020-05-11 |
Last Update Date | 2020-05-11 |
Authorized Official Name | CASSIE A ICENOGLE (OWNER) |
Authorized Official Telephone | 3605064886 |
Authorized Official Credential | LMHC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Krave Lyfe Mental Health Counseling | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | KRAVE LYFE MENTAL HEALTH COUNSELING, LLC | 6326 Martin Way E, Lacey, WA 98516-5570 |
Street Address |
6326 MARTIN WAY E STE 200 |
City | LACEY |
State | WA |
Zip Code | 98516-5570 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
Find all providers in zip 98516 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760001630 | Robbion Jarado Harris | Counselor | 4104 Ingleside Dr Se, Lacey, WA 98503-2113 | 2020-04-10 |
1891286712 | Tracy J Downs | Counselor | 1138 Golf Club Rd Se Apt 101, Lacey, WA 98503-2395 | 2018-05-25 |
1578090015 | Heather Marie Rehaume | Counselor | 1219 Warner St Ne, Lacey, WA 98516-5427 | 2017-05-15 |
1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
1518347384 | Bonnie Margaret Edwards | Counselor | 6402 57th Ct Se, Lacey, WA 98513-4159 | 2015-06-05 |
1053709576 | Calvin Wynn | Counselor | 7819 48th Ave Se, Lacey, WA 98503-4609 | 2015-01-06 |
1154727279 | Douglas Gemmell | Counselor | 7054 Radius Loop Se, Lacey, WA 98513-5134 | 2014-11-17 |
1184040503 | Rebecca K Slosson | Counselor | 4313 6th Ave Se Ste C102, Lacey, WA 98503-1072 | 2014-03-10 |
1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
1255645081 | Dixie Myava Richardson | Counselor | 4520 Lacey Blvd Se, Suite #21, Lacey, WA 98503-5752 | 2010-08-04 |
Find all providers in LACEY |
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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.