BALEVA MAURICE WARD (NPI# 1548409345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548409345 |
| Entity Type | Individual |
| Full Name | BALEVA MAURICE WARD |
| Credential | CDP, CV |
| Practice Address |
811 Madison St Everett WA 98203-4543 |
| Mailing Address |
Po Box 2569 Everett WA 98213-0569 |
| Practice Telephone | 4252124200 |
| Practice Fax Number | 4252124201 |
| Mailing Telephone | 4252124200 |
| Mailing Fax Number | 4252124201 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2018-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 17143800 | 05 | |
| WA | 1548409345 | 05 |
| Street Address |
811 MADISON ST |
| City | EVERETT |
| State | WA |
| Zip Code | 98203-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932140985 | Sondra Lee Laverne | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2006-06-09 |
| 1891394623 | Raymond Francis Lacko Jr. | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-10-22 |
| 1356940480 | Dennis R Phillips | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-10-20 |
| 1285243956 | Lauran Elizabeth Tapp | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-07-28 |
| 1154930147 | Alexa T Nachreiner | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-07-27 |
| 1134738222 | Jonathan Thomas Wallis | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-07-24 |
| 1659998417 | Corilynne Woods | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-06-28 |
| 1942825781 | Lauren F Wilson | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-06-08 |
| 1669096913 | Meghan Irene Rose White | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-06-02 |
| 1285257790 | Susan Sarrazin | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
| Find all providers in zip 98203 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205965159 | Evergreen Manor Detox | Substance Abuse Rehabilitation Facility | 2601 Summit Ave, Everett, WA 98201 | 2007-03-05 |
| 1972967479 | Evergreen Recovery | Substance Abuse Rehabilitation Facility | 2601 Summit Ave, Everett, WA 98201-3309 | 2016-04-11 |
| 1093998312 | Evergreen Manor - Residential 2 | Substance Abuse Rehabilitation Facility | 2601 Summit Ave, Everett, WA 98201-3309 | 2007-12-10 |
| 1215067319 | Evergreen Manor Residential | Substance Abuse Rehabilitation Facility | 2601 Summit Ave, Everett, WA 98201 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787763 | For The Culture Counseling Services | Substance Abuse Rehabilitation Facility | 4301 S Pine St Ste 92, Tacoma, WA 98409-7259 | 2020-10-12 |
| 1760090518 | Hotel California By The Sea Bellevue, LLC. | Substance Abuse Rehabilitation Facility | 7810 130th Ave Ne, Kirkland, WA 98033-8251 | 2020-07-17 |
| 1629532569 | Sandra Ann Moore | Substance Abuse Rehabilitation Facility | 2632 E 17th St, Bremerton, WA 98310-5058 | 2019-01-24 |
| 1972085835 | Peninsula Counseling, LLC | Substance Abuse Rehabilitation Facility | 3214 50th Street Ct Nw Ste D-305, Gig Harbor, WA 98335-8589 | 2018-09-06 |
| 1356831911 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 44 E Cozza Dr Ste B, Spokane, WA 99208-6514 | 2018-05-18 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1346785524 | Big Change Medical | Substance Abuse Rehabilitation Facility | 26857 16th Ave S, Des Moines, WA 98198-9327 | 2016-12-27 |
| 1881062362 | Sea-mar Community Health Center | Substance Abuse Rehabilitation Facility | 113 23rd Ave S, Seattle, WA 98144-2309 | 2015-09-14 |
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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.