Provider Demographics
NPI:1750473112
Name:OPEN ARMS CHRISTIAN COUNSELING, INC.
Entity Type:Organization
Organization Name:OPEN ARMS CHRISTIAN COUNSELING, INC.
Other - Org Name:JC SPEECH PATHOLOGY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CIARLO
Authorized Official - Suffix:
Authorized Official - Credentials:SLP, LMHC
Authorized Official - Phone:509-662-3762
Mailing Address - Street 1:210 METHOW ST
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2927
Mailing Address - Country:US
Mailing Address - Phone:509-662-3762
Mailing Address - Fax:509-662-3762
Practice Address - Street 1:210 METHOW ST
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2927
Practice Address - Country:US
Practice Address - Phone:509-662-3762
Practice Address - Fax:509-662-3762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00003214235Z00000X
WALH00010914261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Not Answered261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7088370Medicaid