Provider Demographics
NPI:1386823441
Name:VITAL CHANGES, INC
Entity Type:Organization
Organization Name:VITAL CHANGES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCFARLANE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:425-687-9600
Mailing Address - Street 1:451 SW 10TH STREET
Mailing Address - Street 2:SUITE 108
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057
Mailing Address - Country:US
Mailing Address - Phone:425-687-9600
Mailing Address - Fax:425-264-0136
Practice Address - Street 1:451 SW 10TH STREET
Practice Address - Street 2:SUITE 108
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057
Practice Address - Country:US
Practice Address - Phone:425-687-9600
Practice Address - Fax:425-264-0136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty