Provider Demographics
NPI:1679950505
Name:CENTER FOR EFT
Entity Type:Organization
Organization Name:CENTER FOR EFT
Other - Org Name:COUPLE & FAMILY INSTITUTE OF TRI-CITIES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CONRAD
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:509-579-0200
Mailing Address - Street 1:8121 W. QUINAULT AVE
Mailing Address - Street 2:SUITE F202
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336
Mailing Address - Country:US
Mailing Address - Phone:509-579-0200
Mailing Address - Fax:509-232-0216
Practice Address - Street 1:8121 W. QUINAULT AVE
Practice Address - Street 2:SUITE F202
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336
Practice Address - Country:US
Practice Address - Phone:509-579-0200
Practice Address - Fax:509-232-0216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60396737101YM0800X
WALH00008582101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty