Provider Demographics
NPI:1508318395
Name:ARK COUNSELING & TREATMENT SERVICES LLC
Entity Type:Organization
Organization Name:ARK COUNSELING & TREATMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOUSING COORDINATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILL
Authorized Official - Middle Name:ALTON
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:CDPT
Authorized Official - Phone:206-432-0755
Mailing Address - Street 1:PO BOX 47055
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98146-7055
Mailing Address - Country:US
Mailing Address - Phone:206-432-0755
Mailing Address - Fax:
Practice Address - Street 1:634 SW 149TH ST
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-1936
Practice Address - Country:US
Practice Address - Phone:206-489-2031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA200422101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty