Provider Demographics
NPI:1528306057
Name:FAMILY FOUNDATIONS COUNSELING
Entity type:Organization
Organization Name:FAMILY FOUNDATIONS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:TINGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:253-566-5559
Mailing Address - Street 1:6512 20TH STREET CT W
Mailing Address - Street 2:STE. B
Mailing Address - City:FIRCREST
Mailing Address - State:WA
Mailing Address - Zip Code:98466-6212
Mailing Address - Country:US
Mailing Address - Phone:253-566-5559
Mailing Address - Fax:253-565-0274
Practice Address - Street 1:6512 20TH STREET CT W
Practice Address - Street 2:STE. B
Practice Address - City:FIRCREST
Practice Address - State:WA
Practice Address - Zip Code:98466-6212
Practice Address - Country:US
Practice Address - Phone:253-566-5559
Practice Address - Fax:253-565-0274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00002076106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty