Provider Demographics
NPI:1730201856
Name:CAPSTONE BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:CAPSTONE BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERMANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:GUHLKE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:509-725-4900
Mailing Address - Street 1:PO BOX 421
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:WA
Mailing Address - Zip Code:99122-0421
Mailing Address - Country:US
Mailing Address - Phone:509-725-4900
Mailing Address - Fax:509-725-4901
Practice Address - Street 1:49 PARK STREET
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:WA
Practice Address - Zip Code:99122
Practice Address - Country:US
Practice Address - Phone:509-725-4900
Practice Address - Fax:509-725-4901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH0008172101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty