Provider Demographics
NPI:1841060860
Name:JOYFUL RAIN THERAPY, PLLC
Entity type:Organization
Organization Name:JOYFUL RAIN THERAPY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:509-969-4008
Mailing Address - Street 1:PO BOX 431
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98227-0431
Mailing Address - Country:US
Mailing Address - Phone:360-325-1732
Mailing Address - Fax:
Practice Address - Street 1:3129 OLD FAIRHAVEN PKWY UNIT 311
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-2051
Practice Address - Country:US
Practice Address - Phone:509-969-4008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health