Provider Demographics
NPI:1912270794
Name:HEALTHY OPTIONS COUNSELING SERVICES
Entity type:Organization
Organization Name:HEALTHY OPTIONS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:F
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:360-951-6304
Mailing Address - Street 1:147 ROGERS ST NW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-5343
Mailing Address - Country:US
Mailing Address - Phone:360-352-0064
Mailing Address - Fax:360-350-3569
Practice Address - Street 1:147 ROGERS ST NW
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-5343
Practice Address - Country:US
Practice Address - Phone:360-352-0064
Practice Address - Fax:360-350-3569
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHY OPTIONS ENTERPRISES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-09
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60090934251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health