Provider Demographics
NPI:1932577210
Name:RECAPTURING DREAMS COUNSELING
Entity Type:Organization
Organization Name:RECAPTURING DREAMS COUNSELING
Other - Org Name:HEALING HEARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CORDEALIA
Authorized Official - Middle Name:CORY
Authorized Official - Last Name:UNDERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-373-0332
Mailing Address - Street 1:3320 NARROWS VIEW LANE NE
Mailing Address - Street 2:SUITE #102
Mailing Address - City:BREMERTON
Mailing Address - State:WASHINGTON
Mailing Address - Zip Code:98310
Mailing Address - Country:UM
Mailing Address - Phone:360-373-0332
Mailing Address - Fax:
Practice Address - Street 1:3320 NARROWS VIEW LN NE
Practice Address - Street 2:SUITE #102
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-6667
Practice Address - Country:US
Practice Address - Phone:360-373-0332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty