Provider Demographics
NPI:1588080626
Name:COUNSELING SERVICES FOR WELLBEING, INC.
Entity type:Organization
Organization Name:COUNSELING SERVICES FOR WELLBEING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, SECRETARY, TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ISRAELLA
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:KLEIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:206-579-8825
Mailing Address - Street 1:15811 AMBAUM BLVD SW
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166
Mailing Address - Country:US
Mailing Address - Phone:206-579-8825
Mailing Address - Fax:206-242-0162
Practice Address - Street 1:15811 AMBAUM BLVD SW
Practice Address - Street 2:SUITE 110
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166
Practice Address - Country:US
Practice Address - Phone:206-579-8825
Practice Address - Fax:206-242-0162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF 60032200106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty