Provider Demographics
NPI:1457987646
Name:ANGELA FERRIER LMHC
Entity Type:Organization
Organization Name:ANGELA FERRIER LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:FERRIER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:360-880-4773
Mailing Address - Street 1:128 RED BERRY LN
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-9148
Mailing Address - Country:US
Mailing Address - Phone:360-880-4773
Mailing Address - Fax:360-295-4275
Practice Address - Street 1:221 N TOWER AVE STE 311
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-4309
Practice Address - Country:US
Practice Address - Phone:360-768-3210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-19
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2149389Medicaid