Conquer Addiction Pllc
Conquer Addiction Pllc is a healthcare organization registered as Multi-Specialty Clinic/Center in Monroe, WA, holding Type 2 (organization) NPI 1255001624 since 2021. The authorized official on file is Jacob Grillo, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255001624 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Conquer Addiction Pllc |
| Other name | <Unavail> |
| Practice address | 809 W MAIN ST STE C, Monroe, WA, 98272 |
| Phone | 2065520882 |
| Fax | 8444402147 |
| Enumeration date | 2021-09-17 |
| Last updated in NPPES | 2024-10-11 |
Authorized official
| Name | Jacob Grillo |
|---|---|
| Title | Ceo |
| Phone | 4253871863 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2084P0800X | Psychiatry Physician | Secondary | — | — |
| 251B00000X | Case Management Agency | Secondary | — | — |
| 251S00000X | Community/Behavioral Health Agency | Secondary | — | — |
| 261Q00000X | Clinic/Center | Secondary | — | — |
| 261QM0850X | Adult Mental Health Clinic/Center | Secondary | — | — |
| 261QU0200X | Urgent Care Clinic/Center | Secondary | — | — |
| 344600000X | Taxi | Secondary | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Conquer Addiction Pllc NPI: 1255001624 Taxonomy: 261QM1300X (Multi-Specialty Clinic/Center) Address: 809 W MAIN ST STE C, Monroe, WA, 98272
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1710302831 | Christi Dahlgren | Individual | Medical Physician Assistant | Monroe, WA |
| 1043612575 | Jacob Grillo | Individual | Medical Physician Assistant | Monroe, WA |
| 1336523992 | Ambyr Berman | Individual | Mental Health Counselor | Monroe, WA |
| 1386006922 | Robert Mccullough | Individual | Addiction (Substance Use Disorder) Counselor | Monroe, WA |
| 1649711441 | Heather Gutierrez | Individual | Registered Nurse | Monroe, WA |
| 1538683578 | Steven Daggett | Individual | Addiction (Substance Use Disorder) Counselor | Monroe, WA |
| 1487261129 | Troy Henley | Individual | Psychiatric/Mental Health Nurse Practitioner | Monroe, WA |
| 1659153138 | Bokelyn Health Associates | Organization | Health Service Clinic/Center | Monroe, WA |
Verify this record
Cross-check NPI 1255001624 against the authoritative CMS record: view Conquer Addiction Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Conquer Addiction Pllc?
Who is the authorized official for Conquer Addiction Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-10-11.