Provider Demographics
NPI:1801124268
Name:COUNSELING FOR SUCCESS
Entity type:Organization
Organization Name:COUNSELING FOR SUCCESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:206-355-5776
Mailing Address - Street 1:300 QUEEN ANNE AVE N
Mailing Address - Street 2:NO. 219
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-4512
Mailing Address - Country:US
Mailing Address - Phone:206-355-5776
Mailing Address - Fax:866-305-9008
Practice Address - Street 1:200 W MERCER ST
Practice Address - Street 2:SUITE 307
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-3995
Practice Address - Country:US
Practice Address - Phone:206-355-5776
Practice Address - Fax:866-305-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000080631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty