Provider Demographics
NPI:1821789769
Name:ANEW COUNSELING AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:ANEW COUNSELING AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:KEINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RITENBURGH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:360-567-7154
Mailing Address - Street 1:7202 NE HIGHWAY 99 STE 106-102
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-8932
Mailing Address - Country:US
Mailing Address - Phone:360-567-7154
Mailing Address - Fax:
Practice Address - Street 1:3303 NE 44TH STREET
Practice Address - Street 2:SUITE. 3
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663
Practice Address - Country:US
Practice Address - Phone:360-567-7154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health