Healthcare Provider Details
I. General information
NPI: 1881735926
Provider Name (Legal Business Name): IT TAKES A VILLAGE FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1720 S 341ST PL #C2
FEDERAL WAY WA
98003-8994
US
IV. Provider business mailing address
1720 S 341ST PL #C2
FEDERAL WAY WA
98003-8994
US
V. Phone/Fax
- Phone: 253-838-3111
- Fax: 253-838-3674
- Phone: 253-838-3111
- Fax: 253-838-3674
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | CP00003600 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | LH00008156 |
| License Number State | WA |
VIII. Authorized Official
Name: MS.
PATRICE
BISHOP
Title or Position: DIRECTOR
Credential: LMHC
Phone: 253-661-9761