Provider Demographics
NPI:1730501552
Name:RE-SOURCE COUNSELING CENTER, PLLC
Entity Type:Organization
Organization Name:RE-SOURCE COUNSELING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:HOVEE
Authorized Official - Suffix:
Authorized Official - Credentials:MC
Authorized Official - Phone:509-997-7827
Mailing Address - Street 1:PO BOX 1074
Mailing Address - Street 2:
Mailing Address - City:TWISP
Mailing Address - State:WA
Mailing Address - Zip Code:98856-1074
Mailing Address - Country:US
Mailing Address - Phone:509-997-7827
Mailing Address - Fax:
Practice Address - Street 1:31 YOAKUM DRIVE
Practice Address - Street 2:
Practice Address - City:TWISP
Practice Address - State:WA
Practice Address - Zip Code:98856
Practice Address - Country:US
Practice Address - Phone:509-997-7827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-14
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006432101YM0800X
WALH00007820101YM0800X
WAMC60288338101YM0800X
WALW000062561041C0700X
WALF00000819106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty