HEATHER BLACKMORE MA LMFTA (NPI# 1306253067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306253067 |
| Entity Type | Organization |
| Organization Name | HEATHER BLACKMORE MA LMFTA |
| Practice Address |
374 Ne Max William Loop Poulsbo WA 98370 |
| Mailing Address |
374 Ne Max William Loop Poulsbo WA 98370-9169 |
| Practice Telephone | 3606491238 |
| Mailing Telephone | 3606491238 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |
| Authorized Official Name | MS. HEATHER ANNE BLACKMORE (OWNER) |
| Authorized Official Telephone | 3606491238 |
| Authorized Official Credential | MA LMFTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
MG60354376 | WA | Ambulatory Health Care Facilities |
| Street Address |
374 NE MAX WILLIAM LOOP |
| City | POULSBO |
| State | WA |
| Zip Code | 98370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324010 | Francie Corinn Edens | Massage Therapist | 225 Nw Lindvig Way Suite# 6, Poulsbo, WA 98370 | 2020-01-03 |
| 1972155679 | Marcela Serocki | Massage Therapist | 18657 Wa-305, Suite 4, Poulsbo, WA 98370 | 2019-07-12 |
| 1508425943 | Ryan Brinton | Physical Therapist | Kitsap Physical Therapy and Sports Clinics, 19319 7th Ave Ne Ste 108, Poulsbo, WA 98370 | 2019-06-10 |
| 1598220816 | Naomi Whitney Orong | Massage Therapist | 19068 Nw Jenson Way, Suite 4b, Poulsbo, WA 98370 | 2019-02-01 |
| 1043774953 | Maryanne Phillips Bellman | Physical Therapist | 442 Viewmont Ave, Poulsbo, WA 98370 | 2019-01-24 |
| 1285102293 | Andrea Sander | Registered Nurse | 19883 12th Ave Ne, Poulsbo, WA 98370 | 2018-11-07 |
| 1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
| 1700304334 | Samantha Przybylek Gavinski | Nurse Practitioner | 19500 10th Ave Ne Suite 100, Poulsbo, WA 98370 | 2017-09-04 |
| 1285164327 | Johanna Taylor | Behavior Technician | 21786 Windmill Loop Nw, Poulsbo, WA 98370 | 2017-06-12 |
| 1568990554 | Eva Geurtsen | Physical Therapy Assistant | 19160 Front St, Poulsbo, WA 98370 | 2017-06-02 |
| Find all providers in zip 98370 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720612112 | Brandy Oto Counseling | Clinic/Center | 27203 216th Ave Se Ste 5, Maple Valley, WA 98038-3273 | 2020-02-25 |
| 1992279319 | Familywise Northwest, Pllc | Clinic/Center | 3801 E Mercer Way, Mercer Island, WA 98040-3805 | 2019-01-18 |
| 1346758976 | Steve Merritt Counseling LLC | Clinic/Center | 850 Haggen Dr, Burlington, WA 98233-3317 | 2018-01-17 |
| 1699153767 | Tenacity Counseling and Court Services, Pllc | Clinic/Center | 16113 Densmore Ave N, Shoreline, WA 98133-5828 | 2015-05-11 |
| 1952719825 | Crystal Garrison Np, LLC | Clinic/Center | 304 Se Hearthwood Blvd # 871927, Vancouver, WA 98684-7551 | 2014-07-23 |
| 1447551221 | Atlantic Street Center | Clinic/Center | 2103 S Atlantic St, Seattle, WA 98144-3615 | 2010-11-09 |
| 1265636815 | Vashon Youth and Family Services | Clinic/Center | 20110 Vashon Hwy Sw, Vashon, WA 98070 | 2007-06-14 |
| 1073639753 | Casteele, Williams & Associates Counseling Agency Inc | Clinic/Center | 8833 Pacific Ave Ste D, Tacoma, WA 98444-6490 | 2007-03-22 |
| 1306851175 | Daybreak Youth Services | Clinic/Center | 11910 Ne 154th St, Brush Prairie, WA 98606 | 2006-07-30 |
| 1073534228 | Daybreak Youth Services | Clinic/Center | 628 S Cowley St, Spokane, WA 99202 | 2006-07-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.