Provider Demographics
NPI:1124706171
Name:THROUGH LIFE STAGES PROFESSIONAL COUNSELING SERVICES PC
Entity type:Organization
Organization Name:THROUGH LIFE STAGES PROFESSIONAL COUNSELING SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:360-927-1980
Mailing Address - Street 1:1901 CORNWALL AVE STE 431
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3659
Mailing Address - Country:US
Mailing Address - Phone:360-927-1980
Mailing Address - Fax:360-746-2323
Practice Address - Street 1:1901 CORNWALL AVE STE 431
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3659
Practice Address - Country:US
Practice Address - Phone:360-927-1980
Practice Address - Fax:360-746-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health