Provider Demographics
NPI:1477541605
Name:EWR, INC.
Entity Type:Organization
Organization Name:EWR, INC.
Other - Org Name:UNITED TREATMENT AND THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:ROBIN
Authorized Official - Last Name:SWAILES
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:425-688-0033
Mailing Address - Street 1:PO BOX 1525
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98009-1525
Mailing Address - Country:US
Mailing Address - Phone:425-688-0033
Mailing Address - Fax:425-688-0030
Practice Address - Street 1:12501 BEL RED RD
Practice Address - Street 2:SUITE 206
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2509
Practice Address - Country:US
Practice Address - Phone:425-688-0033
Practice Address - Fax:425-688-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2008-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00000866101YA0400X
WALH00003686101YM0800X
WA17112700261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty