Healthcare Provider Details
I. General information
NPI: 1396094793
Provider Name (Legal Business Name): WRIGHTWAY COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2012
Last Update Date: 03/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
135 N OLYMPIC AVE
ARLINGTON WA
98223-1335
US
IV. Provider business mailing address
PO BOX 383
ARLINGTON WA
98223-0383
US
V. Phone/Fax
- Phone: 360-474-6262
- Fax: 866-408-8860
- Phone: 360-474-6262
- Fax: 866-408-8860
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JOEL
DAVID
WRIGHT
Title or Position: OWNER/COUNSELOR
Credential: M.A., L.M.H.C.
Phone: 360-474-6262