Provider Demographics
NPI:1720605967
Name:SCHUURMANS, BETH SAMANTHA (LMHC)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:SAMANTHA
Last Name:SCHUURMANS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 NORTH ST SE
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98501-3439
Mailing Address - Country:US
Mailing Address - Phone:206-258-1050
Mailing Address - Fax:
Practice Address - Street 1:616 NORTH ST SE
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98501-3439
Practice Address - Country:US
Practice Address - Phone:206-258-1050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-04
Last Update Date:2020-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61044161101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health