Provider Demographics
NPI:1982411575
Name:CARY C BRIM REID SMALL ASPIRATIONS
Entity type:Organization
Organization Name:CARY C BRIM REID SMALL ASPIRATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BRIM REID
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW, MHP
Authorized Official - Phone:360-481-8222
Mailing Address - Street 1:6763 STEAMER DR SE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98513-6223
Mailing Address - Country:US
Mailing Address - Phone:360-481-8222
Mailing Address - Fax:
Practice Address - Street 1:6763 STEAMER DR SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98513-6223
Practice Address - Country:US
Practice Address - Phone:360-481-8222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-17
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty