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COMMUNITY HOUSE ON BROADWAY
NPI 1467855353
Counselor - Mental Health in Longview, WA

Active since October 06, 2014
748 14TH AVE, LONGVIEW, WA 98632(360) 200-5419 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community House On Broadway NPPES

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

COMMUNITY HOUSE ON BROADWAY (NPI 1467855353) is a healthcare organization registered as a mental health in Longview, Washington and active in the NPI registry since October 2014. The organization lists Cameron Carson, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1467855353
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCOMMUNITY HOUSE ON BROADWAY
Location Address748 14TH AVELongview, WA 98632-2315
Mailing AddressPo Box 403Longview, WA 98632-7260 · (360) 200-5419 · Fax (360) 200-6736
Phone(360) 200-5419
Organization SubpartNo
Authorized OfficialCameron CarsonClinic Manager · (360) 200-5419
Enumeration DateOctober 6, 2014
Last NPPES UpdateOctober 6, 2015
✔ NPI 1467855353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · 313
748 14TH AVE, Longview, WA 98632
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARENA BERISHEV
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
RACHEL A GAINES SUDP
Counselor (Addiction (Substance Use Disorder))
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
CASSIDY JOHNSTON
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
MISTY DAWN REED AAC, CPC
Peer Specialist
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
KAYLEE MOE CPC
Peer Specialist
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
MS. KIMBERLEE MARIE SEALS SUDPT, AAC
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
AMANDA M KERSTETER MC, LMHC, MHP, CMHS
Counselor (Mental Health)
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
BALENDA J FRIEZE
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community House On Broadway's NPI number?

The NPI number for Community House On Broadway is 1467855353. It was assigned to this organization in the NPPES registry on October 6, 2014.

Where is Community House On Broadway located?

Community House On Broadway is located at 748 14th Ave, Longview, WA 98632. The listed phone number is (360) 200-5419.

What is Community House On Broadway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Community House On Broadway was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.