Provider Demographics
NPI:1982474391
Name:MOUNTAIN IS OUT THERAPY PLLC
Entity Type:Organization
Organization Name:MOUNTAIN IS OUT THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HUNTTING
Authorized Official - Suffix:
Authorized Official - Credentials:LMCHA
Authorized Official - Phone:253-265-4338
Mailing Address - Street 1:2201 N 30TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403-3361
Mailing Address - Country:US
Mailing Address - Phone:253-265-4338
Mailing Address - Fax:
Practice Address - Street 1:2201 N 30TH ST STE C
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-3361
Practice Address - Country:US
Practice Address - Phone:253-265-4338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty