Provider Demographics
NPI:1114354966
Name:ASPIRE BEHAVIORAL HEALTH COUNSELING SERVICES CO
Entity Type:Organization
Organization Name:ASPIRE BEHAVIORAL HEALTH COUNSELING SERVICES CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MFT, LMHC, LMFTA
Authorized Official - Phone:360-487-0856
Mailing Address - Street 1:3205 NE 78TH ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-0697
Mailing Address - Country:US
Mailing Address - Phone:360-487-0856
Mailing Address - Fax:877-281-1251
Practice Address - Street 1:3205 NE 78TH ST
Practice Address - Street 2:SUITE 105
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-0697
Practice Address - Country:US
Practice Address - Phone:360-487-0856
Practice Address - Fax:877-281-1251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-10
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60279602251S00000X
WALH60507972251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health