Provider Demographics
NPI:1083808059
Name:CENTER FOR COUPLES & FAMILY HEALING PLLC
Entity Type:Organization
Organization Name:CENTER FOR COUPLES & FAMILY HEALING PLLC
Other - Org Name:LORYANN M NICHOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LORYANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:MS LMFT
Authorized Official - Phone:206-290-8305
Mailing Address - Street 1:11417 124TH AVE NE
Mailing Address - Street 2:#204
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033
Mailing Address - Country:US
Mailing Address - Phone:425-899-0832
Mailing Address - Fax:425-827-6221
Practice Address - Street 1:11417 124TH AVE NE
Practice Address - Street 2:#204
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033
Practice Address - Country:US
Practice Address - Phone:425-899-0832
Practice Address - Fax:425-827-6221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty