Provider Demographics
NPI:1013182633
Name:CAIN, ATWELL & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:CAIN, ATWELL & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET 'PEG'
Authorized Official - Middle Name:
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC
Authorized Official - Phone:360-413-0046
Mailing Address - Street 1:5709 LACEY BLVD SE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-2495
Mailing Address - Country:US
Mailing Address - Phone:360-413-0046
Mailing Address - Fax:360-413-0586
Practice Address - Street 1:5709 LACEY BLVD SE
Practice Address - Street 2:SUITE 204
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-2495
Practice Address - Country:US
Practice Address - Phone:360-413-0046
Practice Address - Fax:360-413-0586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602260397251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WALH00005213OtherLMHC #