Provider Demographics
NPI:1366131328
Name:EXPRESS YOURSELF, LLC
Entity type:Organization
Organization Name:EXPRESS YOURSELF, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:ASLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-751-7131
Mailing Address - Street 1:1421 STORM KING AVE SW
Mailing Address - Street 2:
Mailing Address - City:OCEAN SHORES
Mailing Address - State:WA
Mailing Address - Zip Code:98569-9638
Mailing Address - Country:US
Mailing Address - Phone:360-751-7131
Mailing Address - Fax:
Practice Address - Street 1:1421 STORM KING AVE SW
Practice Address - Street 2:
Practice Address - City:OCEAN SHORES
Practice Address - State:WA
Practice Address - Zip Code:98569-9638
Practice Address - Country:US
Practice Address - Phone:360-751-7131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child