Provider Demographics
NPI:1699377648
Name:VANCOUVER COUNSELING SOLUTIONS LLC
Entity Type:Organization
Organization Name:VANCOUVER COUNSELING SOLUTIONS LLC
Other - Org Name:COLLABORATIVE SOLUTIONS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/ THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMPPI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:360-727-1450
Mailing Address - Street 1:15383 S GRAVES RD
Mailing Address - Street 2:
Mailing Address - City:MULINO
Mailing Address - State:OR
Mailing Address - Zip Code:97042-9789
Mailing Address - Country:US
Mailing Address - Phone:360-727-1450
Mailing Address - Fax:
Practice Address - Street 1:15383 S GRAVES RD
Practice Address - Street 2:
Practice Address - City:MULINO
Practice Address - State:OR
Practice Address - Zip Code:97042-9789
Practice Address - Country:US
Practice Address - Phone:360-727-1450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty