Buena Vida Counseling Pllc
LBN: Buena Vida Counseling Pllc
Buena Vida Counseling Pllc is an health care organization with primary practice located at 2146 W Railroad Ave Ste A , Shelton WA 98584-7126. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Buena Vida Counseling Pllc can be contacted via phone (360) 358-2085, or through Wellman, Christina Marie via phone (360) 358-2085.
Contact Information
Primary practice address
2146 W Railroad Ave Ste A
Shelton WA 98584-7126
Phone: (360) 358-2085
Fax: (360) 485-4964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1265077846 |
|---|---|
| LBN Legal business name | Buena Vida Counseling Pllc |
| DBA Doing business as | |
| Authorized official | Wellman, Christina Marie LMHC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2019 |
| Last updated | Jul 12th, 2024 - about 4 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265077846 | NPPES |
| Washington | MEDICAID | 2155565 |
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