Organization
BRANDY OTO COUNSELING
Active
Parent organization
BRANDY OTO COUNSELING
Other names
Thrive Wellness Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRANDY OTO COUNSELING
Authorized official
BRANDY L OTO LMHC (OWNER)
(253) 334-6950
Entity
Organization
Contact information
Practice address
27203 216TH AVE SE STE 5, MAPLE VALLEY, WA 98038-3273
(425) 584-7570
Mailing address
27203 216TH AVE SE STE 5, MAPLE VALLEY, WA 98038-3273
(425) 584-7570
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/05/2021
Last updated
04/13/2022
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