Healthcare Provider Details

I. General information

NPI: 1114354966
Provider Name (Legal Business Name): ASPIRE BEHAVIORAL HEALTH COUNSELING SERVICES CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2013
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 NE 77TH AVE STE 275
VANCOUVER WA
98662-6857
US

IV. Provider business mailing address

4400 NE 77TH AVE STE 275
VANCOUVER WA
98662-6857
US

V. Phone/Fax

Practice location:
  • Phone: 360-487-0856
  • Fax: 360-918-9721
Mailing address:
  • Phone: 360-633-2300
  • Fax: 360-918-9721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MISS MICHELLE A NEWTON
Title or Position: PRESIDENT/MENTAL HEALTH CLINICIAN
Credential: LMHC, MA-MFT, CMHS
Phone: 360-633-2300