Provider Demographics
NPI:1881142867
Name:SAND AND STONE COUNSELING PLLC
Entity type:Organization
Organization Name:SAND AND STONE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RONDALE
Authorized Official - Middle Name:
Authorized Official - Last Name:FELIX
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:360-888-3776
Mailing Address - Street 1:418 CARPENTER RD SE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-7905
Mailing Address - Country:US
Mailing Address - Phone:360-888-3776
Mailing Address - Fax:
Practice Address - Street 1:418 CARPENTER RD SE
Practice Address - Street 2:SUITE 104
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-7905
Practice Address - Country:US
Practice Address - Phone:360-888-3776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60489725101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty