Healthcare Provider Details

I. General information

NPI: 1821789769
Provider Name (Legal Business Name): ANEW COUNSELING AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2023
Last Update Date: 05/19/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3303 NE 44TH STREET SUITE. 3
VANCOUVER WA
98663
US

IV. Provider business mailing address

7202 NE HIGHWAY 99 STE 106-102
VANCOUVER WA
98665-8932
US

V. Phone/Fax

Practice location:
  • Phone: 360-567-7154
  • Fax:
Mailing address:
  • Phone: 360-567-7154
  • 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: MS. KEINA RITENBURGH
Title or Position: ADMINISTRATOR/CLINICIAN
Credential: LCSW
Phone: 360-567-7154