Organization Name: | BASIN COUNSELING |
NPI Number: | 1053317958 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORA HOLT (OWNER) |
Mailing Address: | 404 S Division St Moses Lake |
State: | WA US |
Postal Code: | 988371957 |
Phone Number: | 5097647474 |
Fax Number: | 5097647480 |
NPI Enumeration Date: | 06/24/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |