Provider Demographics
NPI:1447962675
Name:PRAXIS COUNSELING, PLLC
Entity type:Organization
Organization Name:PRAXIS COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:FAUERSO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC
Authorized Official - Phone:509-219-3204
Mailing Address - Street 1:12335 W EMIG DR
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:WA
Mailing Address - Zip Code:98826-8750
Mailing Address - Country:US
Mailing Address - Phone:509-219-3204
Mailing Address - Fax:509-219-3206
Practice Address - Street 1:12335 W EMIG DR
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:WA
Practice Address - Zip Code:98826-8750
Practice Address - Country:US
Practice Address - Phone:509-219-3204
Practice Address - Fax:509-219-3206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty