Provider Demographics
NPI:1235700766
Name:DAHLIA COUNSELING LLC
Entity Type:Organization
Organization Name:DAHLIA COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:
Authorized Official - Last Name:KELSO-ZNAK
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:253-237-4103
Mailing Address - Street 1:25908 13TH PL S
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:WA
Mailing Address - Zip Code:98198-9112
Mailing Address - Country:US
Mailing Address - Phone:253-237-4103
Mailing Address - Fax:
Practice Address - Street 1:25908 13TH PL S
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198-9112
Practice Address - Country:US
Practice Address - Phone:253-237-4103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty