Provider Demographics
NPI:1447981832
Name:SELECT SERVICES BY OPS, PLLC
Entity type:Organization
Organization Name:SELECT SERVICES BY OPS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDEBECK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:360-951-0506
Mailing Address - Street 1:711 COURT A STE 114
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-5227
Mailing Address - Country:US
Mailing Address - Phone:253-269-6063
Mailing Address - Fax:
Practice Address - Street 1:711 COURT A STE 114
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-5227
Practice Address - Country:US
Practice Address - Phone:253-269-6063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty