Provider Demographics
NPI:1093986564
Name:LAMENGE COUNSELING SERVICES, INC.
Entity type:Organization
Organization Name:LAMENGE COUNSELING SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MENG
Authorized Official - Suffix:
Authorized Official - Credentials:CDP
Authorized Official - Phone:253-536-5549
Mailing Address - Street 1:504 112TH STREET S.
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444
Mailing Address - Country:US
Mailing Address - Phone:253-536-5549
Mailing Address - Fax:253-536-1255
Practice Address - Street 1:504 112TH STREET S.
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444
Practice Address - Country:US
Practice Address - Phone:253-536-5549
Practice Address - Fax:253-536-1255
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAMENGE COUNSELING SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-12
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00001279251B00000X
WACP60061821101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WACAQH12657245Medicaid