Provider Demographics
NPI:1881735926
Name:IT TAKES A VILLAGE FAMILY SERVICES
Entity type:Organization
Organization Name:IT TAKES A VILLAGE FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:253-661-9761
Mailing Address - Street 1:1720 S 341ST PL
Mailing Address - Street 2:#C2
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8994
Mailing Address - Country:US
Mailing Address - Phone:253-838-3111
Mailing Address - Fax:253-838-3674
Practice Address - Street 1:1720 S 341ST PL
Practice Address - Street 2:#C2
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8994
Practice Address - Country:US
Practice Address - Phone:253-838-3111
Practice Address - Fax:253-838-3674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00003600101YA0400X
WALH00008156101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty