MRS. NICOLE LARAY GROCHOW
NPI 1316589559
Peer Specialist in Longview, WA

Active since October 09, 2019
720 14TH AVE, LONGVIEW, WA 98632(360) 423-0203(360) 577-0187 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 7, 2021, May 21, 2021, Oct 9, 2019 (3 updates tracked since 2019).

About Mrs. Nicole Laray Grochow NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. NICOLE LARAY GROCHOW (NPI 1316589559) is an individual peer specialist in Longview, Washington, licensed in Washington (CG61011099) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1316589559
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMRS. NICOLE LARAY GROCHOW
Location Address720 14TH AVELongview, WA 98632
Mailing AddressPo Box 1847Longview, WA 98632 · (360) 423-0203 · Fax (360) 577-0269
Fax(360) 577-0187
Sole ProprietorNo
Enumeration DateOctober 9, 2019
Last NPPES UpdateSeptember 7, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2021
NPI 1316589559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in WA · CG61011099
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

720 14TH AVE, Longview, WA 98632

Other Names 1

Former Name (1)Mrs. Nicole Laray Wilhoit

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
720 14TH AVE
LONGVIEW, WA 98632
Pathology (Anatomic Pathology & Clinical Pathology)
720 14TH AVE
LONGVIEW, WA 98632
Pathology (Anatomic Pathology & Clinical Pathology)
720 14TH AVE
LONGVIEW, WA 98632
Nuclear Medicine
720 14TH AVE
LONGVIEW, WA 98632
Counselor (Mental Health)
720 14TH AVE
LONGVIEW, WA 98632
Counselor (Mental Health)
720 14TH AVE
LONGVIEW, WA 98632
Counselor
720 14TH AVE
LONGVIEW, WA 98632
Registered Nurse
720 14TH AVE
LONGVIEW, WA 98632
Counselor (Addiction (Substance Use Disorder))
720 14TH AVE
LONGVIEW, WA 98632
Registered Nurse
720 14TH AVE
LONGVIEW, WA 98632
Registered Nurse
720 14TH AVE
LONGVIEW, WA 98632
Registered Nurse
720 14TH AVE
LONGVIEW, WA 98632
Counselor
720 14TH AVE
LONGVIEW, WA 98632
Counselor
720 14TH AVE
LONGVIEW, WA 98632
Counselor
720 14TH AVE
LONGVIEW, WA 98632
Nurse's Aide
720 14TH AVE
LONGVIEW, WA 98632
Nurse's Aide
720 14TH AVE
LONGVIEW, WA 98632
Registered Nurse
720 14TH AVE
LONGVIEW, WA 98632
Nurse's Aide
720 14TH AVE
LONGVIEW, WA 98632
Nurse's Aide
720 14TH AVE
LONGVIEW, WA 98632

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316589559, enumerated as an "individual" on October 09, 2019.

The provider is located at 720 14TH AVE LONGVIEW, WA 98632 and the phone number is (360) 423-0203.

Peer Specialist with taxonomy code 175T00000X.