Provider Demographics
NPI:1073883484
Name:HELPING PROFESSIONALS WELLNESS CENTER
Entity Type:Organization
Organization Name:HELPING PROFESSIONALS WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ELLETT
Authorized Official - Suffix:
Authorized Official - Credentials:LCISW, CADCII
Authorized Official - Phone:360-687-0693
Mailing Address - Street 1:2401 W MAIN ST STE 205
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-4557
Mailing Address - Country:US
Mailing Address - Phone:360-687-0693
Mailing Address - Fax:360-666-8601
Practice Address - Street 1:2401 W MAIN ST STE 205
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-4557
Practice Address - Country:US
Practice Address - Phone:360-687-0693
Practice Address - Fax:360-666-8601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP 60232949101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty