MEDICARE: HOPE HELP GEORGE BRUMMELL COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	17159400	WA

General Provider Information

NPI Number	:	1730564907
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE HELP GEORGE BRUMMELL COUNSELING, LLC

Provider Business Mailing Address
First Line	:	230 AUBURN WAY SO STE 1B
Second Line	:
City	:	AUBURN
State	:	WA
Zip	:	98002
Country	:	US
Telephone Number	:	253-333-2328
Fax Number	:	253-333-5068

Provider Business Practice Location Address
First Line	:	230 AUBURN WAY S STE 1B
Second Line	:
City	:	AUBURN
State	:	WA
Zip	:	98002-5451
Country	:	US
Telephone Number	:	253-333-2328
Fax Number	:	253-333-5068

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GEORGE F. BRUMMELL
Credential	:	LMHC, CDP
Telephone Number	:	253-333-2328

Provider Enumeration Date	:	07/29/2015
Last Update Date	:	07/10/2018

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