Provider Demographics
NPI:1275386930
Name:DREAM BIG WELLNESS
Entity Type:Organization
Organization Name:DREAM BIG WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:KAPUGI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC, ATR
Authorized Official - Phone:352-277-6101
Mailing Address - Street 1:840 NE 125TH ST APT 205
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-3958
Mailing Address - Country:US
Mailing Address - Phone:352-277-6101
Mailing Address - Fax:
Practice Address - Street 1:840 NE 125TH ST APT 205
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-3958
Practice Address - Country:US
Practice Address - Phone:352-277-6101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health