Provider Demographics
NPI:1225651672
Name:THE NARRATIVE SHIFT,LLC
Entity Type:Organization
Organization Name:THE NARRATIVE SHIFT,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PASSMORE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFTA, LMHCA
Authorized Official - Phone:360-672-2182
Mailing Address - Street 1:2600 SW TALON LOOP
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-8140
Mailing Address - Country:US
Mailing Address - Phone:360-672-2182
Mailing Address - Fax:
Practice Address - Street 1:715 SE FIDALGO AVE
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-4007
Practice Address - Country:US
Practice Address - Phone:360-672-5229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1578002390Medicaid