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Therapeutic Change Pllc
Multi-Specialty Clinic/Center in Vancouver, Washington
NPI 1821653239

Therapeutic Change Pllc is a Multi-Specialty Clinic/Center based in Vancouver, WA and is specialized in Multi-Specialty. Therapeutic Change Pllc practices in Vancouver, WA. The NPI Number for Therapeutic Change Pllc is 1821653239 and holds a License No. (Washington).

The current practice location address for Therapeutic Change Pllc is 1314 Kauffman Ave, Vancouver, WA and can be reached out via phone at 360-602-1477 and via fax at 360-334-5508.

Location: 1314 Kauffman Ave, Vancouver, WA, 98660-2725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821653239
Provider Name
Therapeutic Change Pllc
Credential
Provider Entity Type
Organization
Address
1314 Kauffman Ave, Vancouver, WA, 98660-2725
Phone Number
360-602-1477
Fax Number
360-334-5508
Provider Enumeration Date
05/01/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1314 Kauffman Ave
City
Vancouver
State
Washington
Zip
98660-2725
Phone Number
360-602-1477
Fax Number
360-334-5508
person
Provider Business Mailing Address Details
Address
1314 Kauffman Ave
City
Vancouver
State
Washington
Zip
98660-2725
Phone Number
360-602-1477
Fax Number
360-334-5508
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
()
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
semi-verified symbol
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