Basic Information
Provider Information | |||||||||
NPI: | 1033351671 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | CARING SOLUTIONS COUNSELING | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | PO BOX 415 | ||||||||
Address2: |   | ||||||||
City: | ZILLAH | ||||||||
State: | WA | ||||||||
PostalCode: | 989530415 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5099619702 | ||||||||
FaxNumber: | 5092483680 | ||||||||
Practice Location | |||||||||
Address1: | 307 S 12TH AVE STE 18 | ||||||||
Address2: |   | ||||||||
City: | YAKIMA | ||||||||
State: | WA | ||||||||
PostalCode: | 989023147 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5099619702 | ||||||||
FaxNumber: | 5092483680 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 03/27/2009 | ||||||||
LastUpdateDate: | 03/27/2009 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | MASON | ||||||||
AuthorizedOfficialFirstName: | DEENA | ||||||||
AuthorizedOfficialMiddleName: | K | ||||||||
AuthorizedOfficialTitleorPosition: | MENTAL HEALTH PROVIDER | ||||||||
AuthorizedOfficialTelephone: | 5099619702 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | N | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: | MS. | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: | M.E.D. N.C.C. | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | LH00010083 | WA | Y |   | Agencies | Community/Behavioral Health |   |
No ID Information.