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General NPI Number Information
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NPI Number | 1699697664
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Entity Type | Organization
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Legal Business Name | ADAPTIVE CHANGE COUNSELING, LLC
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 3627 ENSIGN RD NE STE A
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City | OLYMPIA
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State | WA
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Zip | 98506-6104
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Country | US
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Telephone | 360-259-5966
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Fax | 360-628-8928
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Provider Business Mailing Address
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Address Line | 3627 ENSIGN RD NE STE A
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City | OLYMPIA
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State | WA
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Zip | 98506-6104
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Country | US
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Telephone | 360-259-5966
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Fax | 360-628-8928
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Authorized Official
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Title or Position | CLINICIAN/OWNER
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Name | MRS. HARRI ANN DONNA ELLIS
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Credential | ELLIS
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Telephone | 360-259-5966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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