Provider Demographics
NPI:1336856954
Name:CW COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:CW COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:COATES-WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-466-4428
Mailing Address - Street 1:3619 N 28TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-5911
Mailing Address - Country:US
Mailing Address - Phone:253-466-4428
Mailing Address - Fax:
Practice Address - Street 1:3619 N 28TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98407-5911
Practice Address - Country:US
Practice Address - Phone:253-466-4428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health