Provider Demographics
NPI:1083919146
Name:TIMMS, NANCY (MSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:TIMMS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 PACIFIC AVENUE NW
Mailing Address - Street 2:
Mailing Address - City:OCEAN SHORES
Mailing Address - State:WA
Mailing Address - Zip Code:98569
Mailing Address - Country:US
Mailing Address - Phone:360-593-4348
Mailing Address - Fax:
Practice Address - Street 1:165 PACIFIC AVE NW
Practice Address - Street 2:NORTH COAST COUNSELING
Practice Address - City:OCEAN SHORES
Practice Address - State:WA
Practice Address - Zip Code:98569
Practice Address - Country:US
Practice Address - Phone:360-593-4348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-21
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00005811101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional