Provider Demographics
NPI:1821772542
Name:SILVER STAR COUNSELING PLLC
Entity Type:Organization
Organization Name:SILVER STAR COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHILD AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARGIE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:360-512-7129
Mailing Address - Street 1:7700 NE PARKWAY DR STE 130
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6648
Mailing Address - Country:US
Mailing Address - Phone:360-512-7129
Mailing Address - Fax:360-282-0784
Practice Address - Street 1:10000 NE 7TH AVE STE 410D
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-4599
Practice Address - Country:US
Practice Address - Phone:360-512-7129
Practice Address - Fax:360-282-0784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-13
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty