Provider Demographics
NPI:1154048577
Name:WOMM COUNSELING LLC
Entity type:Organization
Organization Name:WOMM COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:FUCHS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LCPC, LPCC
Authorized Official - Phone:509-381-9554
Mailing Address - Street 1:23505 E APPLEWAY AVE STE 200-162
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-6003
Mailing Address - Country:US
Mailing Address - Phone:509-381-9554
Mailing Address - Fax:
Practice Address - Street 1:23505 E APPLEWAY AVE STE 200-162
Practice Address - Street 2:
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019-6003
Practice Address - Country:US
Practice Address - Phone:509-381-9554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty