Provider Demographics
NPI:1366830101
Name:THROUGH LIFE STAGES PROFESSIONAL COUNSELING SERVICES
Entity Type:Organization
Organization Name:THROUGH LIFE STAGES PROFESSIONAL COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LMHCC, CFC
Authorized Official - Phone:360-927-1980
Mailing Address - Street 1:1805 LAKESIDE AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-6017
Mailing Address - Country:US
Mailing Address - Phone:360-927-1980
Mailing Address - Fax:360-746-2323
Practice Address - Street 1:103 E HOLLY ST
Practice Address - Street 2:SUITE 205
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4728
Practice Address - Country:US
Practice Address - Phone:360-927-1980
Practice Address - Fax:360-746-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-02
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60417437251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health