Provider Demographics
NPI:1467026542
Name:ASTRA COUNSELING, PLLC
Entity Type:Organization
Organization Name:ASTRA COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER / LMHC
Authorized Official - Prefix:
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:CLINE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, NCC, LMHC
Authorized Official - Phone:503-506-8782
Mailing Address - Street 1:2923 VICTOR ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-2251
Mailing Address - Country:US
Mailing Address - Phone:360-223-0839
Mailing Address - Fax:
Practice Address - Street 1:3031 ORLEANS ST STE 101-6
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-3557
Practice Address - Country:US
Practice Address - Phone:503-506-8782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)