Provider Demographics
NPI:1063283810
Name:RAINBOW COUNSELING & EQUINE CONNECTIONS LLC
Entity type:Organization
Organization Name:RAINBOW COUNSELING & EQUINE CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:NEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:425-280-6508
Mailing Address - Street 1:909 W MAIN ST STE 106
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-2031
Mailing Address - Country:US
Mailing Address - Phone:425-280-6508
Mailing Address - Fax:855-294-1805
Practice Address - Street 1:909 W MAIN ST STE 106
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-2031
Practice Address - Country:US
Practice Address - Phone:425-280-6508
Practice Address - Fax:855-294-1805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty