Provider Demographics
NPI:1790441343
Name:FIVES THERAPY
Entity Type:Organization
Organization Name:FIVES THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:F
Authorized Official - Last Name:STRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:281-757-4282
Mailing Address - Street 1:250 GAGE BLVD APT 4027
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-8656
Mailing Address - Country:US
Mailing Address - Phone:936-701-6126
Mailing Address - Fax:
Practice Address - Street 1:250 GAGE BLVD APT 4027
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-8656
Practice Address - Country:US
Practice Address - Phone:936-701-6126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty