Provider Demographics
NPI:1194588954
Name:THERAGEEK COUNSELING SERVICES
Entity type:Organization
Organization Name:THERAGEEK COUNSELING SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTIOR, CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QUINN
Authorized Official - Middle Name:OLLIE
Authorized Official - Last Name:OPATOWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSWA
Authorized Official - Phone:425-216-8280
Mailing Address - Street 1:7347 RAINIER DR
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-5772
Mailing Address - Country:US
Mailing Address - Phone:425-772-8037
Mailing Address - Fax:
Practice Address - Street 1:7347 RAINIER DR
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-5772
Practice Address - Country:US
Practice Address - Phone:425-772-8037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty