Provider Demographics
NPI:1457523730
Name:CENTER FOR COUNSELING & PSYCHOTHERAPY, LLC
Entity Type:Organization
Organization Name:CENTER FOR COUNSELING & PSYCHOTHERAPY, LLC
Other - Org Name:CENTER FOR ADDICTION RECOVERY & EDUCATION (C.A.R.E.)
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:YOUNKER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:509-966-7246
Mailing Address - Street 1:1015 S 40TH AVE
Mailing Address - Street 2:SUITE 23
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-3806
Mailing Address - Country:US
Mailing Address - Phone:509-966-7246
Mailing Address - Fax:509-966-5731
Practice Address - Street 1:1015 S 40TH AVE
Practice Address - Street 2:SUITE 23
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3806
Practice Address - Country:US
Practice Address - Phone:509-966-7246
Practice Address - Fax:509-966-5731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty