Provider Demographics
NPI:1770248106
Name:LAUREL WEED MENTAL HEALTH SERVICES AND COACHING, PLLC
Entity type:Organization
Organization Name:LAUREL WEED MENTAL HEALTH SERVICES AND COACHING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:
Authorized Official - Last Name:WEED
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:253-569-7572
Mailing Address - Street 1:6541 44TH ST E
Mailing Address - Street 2:
Mailing Address - City:FIFE
Mailing Address - State:WA
Mailing Address - Zip Code:98424-1213
Mailing Address - Country:US
Mailing Address - Phone:253-569-7572
Mailing Address - Fax:
Practice Address - Street 1:6541 44TH ST E
Practice Address - Street 2:
Practice Address - City:FIFE
Practice Address - State:WA
Practice Address - Zip Code:98424-1213
Practice Address - Country:US
Practice Address - Phone:253-569-7572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty