Provider Demographics
NPI:1457462251
Name:PACIFIC RIM COUNSELING SERVICE
Entity Type:Organization
Organization Name:PACIFIC RIM COUNSELING SERVICE
Other - Org Name:DOTTERS COUNSELING SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:OBRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:CDP
Authorized Official - Phone:253-841-4284
Mailing Address - Street 1:319 S MERIDIAN
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-5913
Mailing Address - Country:US
Mailing Address - Phone:253-841-4284
Mailing Address - Fax:253-841-5286
Practice Address - Street 1:319 S MERIDIAN
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-5913
Practice Address - Country:US
Practice Address - Phone:253-841-4284
Practice Address - Fax:253-841-5286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder