Provider Demographics
NPI:1275198426
Name:UNIFIED COUNSELING, PLLC
Entity Type:Organization
Organization Name:UNIFIED COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOMARZEC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-549-5533
Mailing Address - Street 1:PO BOX 623
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-0623
Mailing Address - Country:US
Mailing Address - Phone:253-549-5533
Mailing Address - Fax:
Practice Address - Street 1:26331 NE VALLEY ST
Practice Address - Street 2:
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019-5022
Practice Address - Country:US
Practice Address - Phone:425-224-6123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-03
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty