MRS. HENRIETTA LOUISE MOORE (NPI# 1508923152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508923152 |
| Entity Type | Individual |
| Full Name | MRS. HENRIETTA LOUISE MOORE |
| Credential | M.ED,LMFT |
| Practice Address |
612 Carpenter Rd Se Olympia WA 98503-1383 |
| Mailing Address |
5244 Deerfield Park Ct Ne Olympia WA 98516-2131 |
| Practice Telephone | 3609517540 |
| Mailing Telephone | 3604917212 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LF00001032 | WA | Behavioral Health & Social Service Providers |
| Street Address |
612 CARPENTER RD SE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98503-1383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548798408 | Lisa Strange | Marriage & Family Therapist | 203 4th Ave E Ste 217, Olympia, WA 98501-1187 | 2017-05-23 |
| 1447608039 | Shanna Lyn Fletcher | Marriage & Family Therapist | 324 West Bay Dr Nw, Suite 212a, Olympia, WA 98502-4926 | 2016-05-24 |
| 1598188336 | Lisa Reed | Marriage & Family Therapist | 2635 Parkmont Ln Sw, Ste E2, Olympia, WA 98502 | 2014-01-30 |
| 1396004503 | David Simonsen | Marriage & Family Therapist | 1800 Cooper Point Rd Sw Ste 20b, Olympia, WA 98502-1039 | 2012-05-08 |
| 1447527221 | Leticia Nieto | Marriage & Family Therapist | 1004 Wilson St Se, Olympia, WA 98501-1959 | 2011-11-22 |
| 1831428135 | Lauren Dorothy Farmer | Marriage & Family Therapist | 3859 Martin Way E Ste 102, Olympia, WA 98506-5268 | 2009-12-15 |
| 1962683854 | Dawn Eileen Stremel | Marriage & Family Therapist | 208 Rogers St Nw, Suite C, Olympia, WA 98502-4940 | 2007-11-19 |
| 1669653549 | Eric Currier | Marriage & Family Therapist | 1809 Wilson St Se, Olympia, WA 98501-3063 | 2007-11-19 |
| 1104015452 | Monica Orona Olivas | Marriage & Family Therapist | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2007-10-22 |
| 1689863151 | Diane Geneva Hudson | Marriage & Family Therapist | 1111 Archwood Dr Sw, #366, Olympia, WA 98502-5641 | 2007-10-19 |
| Find all providers in OLYMPIA | ||||
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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.