Provider Demographics
NPI:1558021352
Name:VILLAIN ESTEEM
Entity Type:Organization
Organization Name:VILLAIN ESTEEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELA
Authorized Official - Middle Name:
Authorized Official - Last Name:DALSING
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC, LCPC, NCC
Authorized Official - Phone:563-581-2451
Mailing Address - Street 1:13514 W SUNSET HWY # 459
Mailing Address - Street 2:
Mailing Address - City:AIRWAY HEIGHTS
Mailing Address - State:WA
Mailing Address - Zip Code:99001-9454
Mailing Address - Country:US
Mailing Address - Phone:509-289-2713
Mailing Address - Fax:509-381-3525
Practice Address - Street 1:13302 W KINDER CT
Practice Address - Street 2:
Practice Address - City:AIRWAY HEIGHTS
Practice Address - State:WA
Practice Address - Zip Code:99001-5038
Practice Address - Country:US
Practice Address - Phone:509-289-2713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty