Blue Mountain Counseling in Dayton - Rehabilitation, Substance Use Disorder
Blue Mountain Counseling - NPI 1518157825
Blue Mountain Counseling is a Rehabilitation, Substance Use Disorder in Dayton, Washington. Blue Mountain Counseling practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Blue Mountain Counseling is 1518157825. The last update date is 2007-08-01.
Blue Mountain Counseling's current location address is 221 E Washington Ave, Dayton, Washington. You can contact this provider via phone number 5093821164 and fax number 5093821166. The mailing address for Blue Mountain Counseling is 221 E Washington Ave, Dayton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blue Mountain Counseling |
|---|---|
| Address | 221 E Washington Ave, Dayton, Washington |
| Phone Number | 5093821164 |
| Fax Number | 5093821166 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Roughton Kenneth |
| Credentials | PHD |
| Telephone Number | 5093821164 |
NPI Number Detail
| NPI Number | 1518157825 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
| Address | 221 E Washington Ave |
|---|---|
| City | Dayton |
| State | Washington (WA) |
| Post Code | 993281317 |
| Phone Number | 5093821164 |
| Fax Number | 5093821166 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | 07 0014 00 |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1994995 | WA | -- |
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What is the unique 10-digit identifier code issued to Blue Mountain Counseling by the Centers for Medicare & Medicaid Services?
The Blue Mountain Counseling has been assigned the NPI (National Provider Identifier) 1518157825 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Blue Mountain Counseling located?
The Blue Mountain Counseling is located at 221 E Washington Ave, Dayton, WA 993281317.
What is Blue Mountain Counseling's specialized field of practice, and what is the corresponding taxonomy classification code?
The Blue Mountain Counseling's area of specialization is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this field of practice is 261Qr0405X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518157825 to Blue Mountain Counseling?
The Centers for Medicare & Medicaid Services originally issued the 1518157825 to Blue Mountain Counseling on 2007-08-01.
When was the information related to Blue Mountain Counseling most recently updated or refreshed?
The details pertaining to the Blue Mountain Counseling, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-01.
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