Provider Demographics
NPI:1275178923
Name:PETRICHOR PSYCHOTHERAPY, LLC
Entity Type:Organization
Organization Name:PETRICHOR PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:FOISTER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, CDP
Authorized Official - Phone:360-918-2312
Mailing Address - Street 1:103 E HOLLY ST STE 318
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4728
Mailing Address - Country:US
Mailing Address - Phone:360-918-2312
Mailing Address - Fax:
Practice Address - Street 1:103 E HOLLY ST STE 318
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4728
Practice Address - Country:US
Practice Address - Phone:360-918-2312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-16
Last Update Date:2019-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty