Provider Demographics
NPI:1093414518
Name:YAKIMA VALLEY FAMILY COUNSELING
Entity Type:Organization
Organization Name:YAKIMA VALLEY FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:N
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:LW60711432
Authorized Official - Phone:509-307-2572
Mailing Address - Street 1:618 TITLEIST LN
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-8068
Mailing Address - Country:US
Mailing Address - Phone:509-307-2572
Mailing Address - Fax:
Practice Address - Street 1:618 TITLEIST LN
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-8068
Practice Address - Country:US
Practice Address - Phone:509-307-2572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health