Provider Demographics
NPI:1417147448
Name:LIVING TREE COUNSELING SERVICES
Entity Type:Organization
Organization Name:LIVING TREE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGUINESS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:360-750-6868
Mailing Address - Street 1:110 COLUMBIA ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-3159
Mailing Address - Country:US
Mailing Address - Phone:360-750-6868
Mailing Address - Fax:360-737-0743
Practice Address - Street 1:110 COLUMBIA ST
Practice Address - Street 2:SUITE 109
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3159
Practice Address - Country:US
Practice Address - Phone:360-750-6868
Practice Address - Fax:360-737-0743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1184103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty