Provider Demographics
NPI:1437622016
Name:STORYLINE COUNSELING & WELLNESS, PLLC
Entity Type:Organization
Organization Name:STORYLINE COUNSELING & WELLNESS, PLLC
Other - Org Name:STORYLINE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:HOFING
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:360-920-1696
Mailing Address - Street 1:709 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:LYNDEN
Mailing Address - State:WA
Mailing Address - Zip Code:98264-1819
Mailing Address - Country:US
Mailing Address - Phone:360-685-8114
Mailing Address - Fax:
Practice Address - Street 1:709 FRONT ST
Practice Address - Street 2:
Practice Address - City:LYNDEN
Practice Address - State:WA
Practice Address - Zip Code:98264-1819
Practice Address - Country:US
Practice Address - Phone:360-685-8114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-07
Last Update Date:2023-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)