Provider Demographics
NPI:1861502031
Name:ENVIRONMENTALISTS INC.
Entity Type:Organization
Organization Name:ENVIRONMENTALISTS INC.
Other - Org Name:JAMIE GAVIN, PHD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:GAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MPH
Authorized Official - Phone:509-386-6524
Mailing Address - Street 1:399 H ST STE 5
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:WA
Mailing Address - Zip Code:98230-4100
Mailing Address - Country:US
Mailing Address - Phone:509-386-6524
Mailing Address - Fax:509-529-4182
Practice Address - Street 1:399 H ST STE 5
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:WA
Practice Address - Zip Code:98230-4100
Practice Address - Country:US
Practice Address - Phone:509-386-6524
Practice Address - Fax:509-529-4182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00004549101YA0400X
WALH00004520101YM0800X, 101YP1600X, 106H00000X
WALH0004520101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty