Healthcare Provider Details

I. General information

NPI: 1811754104
Provider Name (Legal Business Name): EQUILIBRIUM CBT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 03/04/2024
Certification Date: 03/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7202 NE HIGHWAY 99 STE 106171
VANCOUVER WA
98665-8932
US

IV. Provider business mailing address

7202 NE HIGHWAY 99 STE 106171
VANCOUVER WA
98665-8932
US

V. Phone/Fax

Practice location:
  • Phone: 206-338-3990
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. EMORY STRICKLAND
Title or Position: OWNER
Credential: PSYD
Phone: 206-338-3990