Provider Demographics
NPI:1881295566
Name:EPIC POSSIBILITIES AND DEVELOPMENT
Entity type:Organization
Organization Name:EPIC POSSIBILITIES AND DEVELOPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:HASELWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-480-5388
Mailing Address - Street 1:2627 MARTIN WAY E STE 4-100
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-4926
Mailing Address - Country:US
Mailing Address - Phone:360-480-5388
Mailing Address - Fax:
Practice Address - Street 1:2627 MARTIN WAY E STE 4-100
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-4926
Practice Address - Country:US
Practice Address - Phone:714-381-2561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-08
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty