Provider Demographics
NPI:1972204816
Name:AMEE RESPICIO COUNSELING & CONSULTING SERVICES PLLC
Entity type:Organization
Organization Name:AMEE RESPICIO COUNSELING & CONSULTING SERVICES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMEE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:RESPICIO
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, CMHS
Authorized Official - Phone:206-304-0788
Mailing Address - Street 1:3655 TRIBUTE AVE E
Mailing Address - Street 2:
Mailing Address - City:FIFE
Mailing Address - State:WA
Mailing Address - Zip Code:98424-3751
Mailing Address - Country:US
Mailing Address - Phone:206-304-0788
Mailing Address - Fax:
Practice Address - Street 1:105 W MAIN STE 105
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-5388
Practice Address - Country:US
Practice Address - Phone:253-234-4588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health