Provider Demographics
NPI:1356714844
Name:MCGINLEY COUNSELING, PLLC
Entity type:Organization
Organization Name:MCGINLEY COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED INDEPENDENT CLINICAL SOCIA
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCGINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MSW, LICSW
Authorized Official - Phone:360-642-4206
Mailing Address - Street 1:1600 PACIFIC AVE N
Mailing Address - Street 2:#3
Mailing Address - City:LONG BEACH
Mailing Address - State:WA
Mailing Address - Zip Code:98631-3802
Mailing Address - Country:US
Mailing Address - Phone:360-642-4206
Mailing Address - Fax:360-642-2367
Practice Address - Street 1:1600 PACIFIC AVE. N, #3
Practice Address - Street 2:BOX 51
Practice Address - City:LONG BEACH
Practice Address - State:WA
Practice Address - Zip Code:98631-0051
Practice Address - Country:US
Practice Address - Phone:360-642-4206
Practice Address - Fax:360-642-2367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000082721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty