Provider Demographics
NPI:1972188233
Name:ROMEY, LAURIE CATHERINE (CAAR)
Entity Type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:CATHERINE
Last Name:ROMEY
Suffix:
Gender:F
Credentials:CAAR
Other - Prefix:
Other - First Name:LAURIE
Other - Middle Name:CATHERINE
Other - Last Name:AYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:235 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:WA
Mailing Address - Zip Code:98584-2255
Mailing Address - Country:US
Mailing Address - Phone:360-426-0890
Mailing Address - Fax:360-426-4688
Practice Address - Street 1:235 S 3RD ST
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:WA
Practice Address - Zip Code:98584-2255
Practice Address - Country:US
Practice Address - Phone:360-426-0890
Practice Address - Fax:360-426-4688
Is Sole Proprietor?:No
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO61125607101YA0400X
WACG61099199101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WACO61125607OtherDEPARTMENT OF HEALTH- SUBSTANCE USE DISORDER PROFESSIONAL TRAINEE
WACG61099199OtherDEPARTMENT OF HEALTH AGENCY AFFILIATED COUNSELOR