Provider Demographics
NPI:1720676984
Name:SKAGIT COUNSELING CENTER
Entity Type:Organization
Organization Name:SKAGIT COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:C
Authorized Official - Last Name:FROLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-630-7756
Mailing Address - Street 1:2204 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-5673
Mailing Address - Country:US
Mailing Address - Phone:360-630-7756
Mailing Address - Fax:
Practice Address - Street 1:1420 ROOSEVELT AVE STE 2
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-2687
Practice Address - Country:US
Practice Address - Phone:360-939-1450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)