Provider Demographics
NPI:1609963404
Name:MOWERS, MINDY MARLENE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:MINDY
Middle Name:MARLENE
Last Name:MOWERS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MRS
Other - First Name:MINDY
Other - Middle Name:MARLENE
Other - Last Name:PORTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:2722 COLBY AVENUE
Mailing Address - Street 2:SUITE 725
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201
Mailing Address - Country:US
Mailing Address - Phone:425-299-7423
Mailing Address - Fax:425-258-5075
Practice Address - Street 1:2722 COLBY AVENUE
Practice Address - Street 2:SUITE 725
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201
Practice Address - Country:US
Practice Address - Phone:425-299-7423
Practice Address - Fax:425-258-5075
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00053309101YM0800X
WALH60128119101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor