Provider Demographics
NPI:1417750068
Name:DAISY HARBOR COUNSELING
Entity type:Organization
Organization Name:DAISY HARBOR COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:TODD
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:360-768-2950
Mailing Address - Street 1:600 1ST AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2246
Mailing Address - Country:US
Mailing Address - Phone:360-768-2950
Mailing Address - Fax:
Practice Address - Street 1:1115 WHEATON WAY APT B8
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-4485
Practice Address - Country:US
Practice Address - Phone:360-768-2950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty