Provider Demographics
NPI:1689067316
Name:GEIST, PATRICIA ROBIN (LMHC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ROBIN
Last Name:GEIST
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:TRISH
Other - Middle Name:ROBIN
Other - Last Name:GEIST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:1807 COOKS HILL RD
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531
Mailing Address - Country:US
Mailing Address - Phone:253-999-9079
Mailing Address - Fax:253-368-0502
Practice Address - Street 1:1807 COOKS HILL RD
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531
Practice Address - Country:US
Practice Address - Phone:253-999-9079
Practice Address - Fax:253-368-0502
Is Sole Proprietor?:No
Enumeration Date:2015-03-05
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00051848101Y00000X
WAMC60570175101YM0800X
WALH60922634101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health