Provider Demographics
NPI:1992204754
Name:HOOD, TABITHA M (LMFT, MHP, CMHS)
Entity Type:Individual
Prefix:MS
First Name:TABITHA
Middle Name:M
Last Name:HOOD
Suffix:
Gender:F
Credentials:LMFT, MHP, CMHS
Other - Prefix:
Other - First Name:TABITHA
Other - Middle Name:M
Other - Last Name:WYATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT, MHP, CMHS
Mailing Address - Street 1:23011 E COLT LN
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-9512
Mailing Address - Country:US
Mailing Address - Phone:509-869-7586
Mailing Address - Fax:
Practice Address - Street 1:23801 E APPLEWAY AVE STE 110
Practice Address - Street 2:
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019-9687
Practice Address - Country:US
Practice Address - Phone:509-800-7129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF61182699106H00000X
WAMG60962556106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist