Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renegade Healing Co , LLC

Organization Mental Health Counselor · NPI 1780540864

Renegade Healing Co , LLC is a Mental Health Counselor in Otis Orchards, Washington. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5711 N Vista Grande Dr
Otis Orchards, WA 99027-9103
Phone: (253) 617-8857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1780540864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Kubat — Owner/Clinician · (253) 617-8857
NPI enumeratedJanuary 1, 2026
Last updated in NPPESJanuary 1, 2026
Certification dateJanuary 1, 2026
Mailing address5711 N Vista Grande Dr, Otis Orchards, WA 99027-9103

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