Provider Demographics
NPI:1528443934
Name:SCHIFFER, LUZVIMINDA (MA)
Entity type:Individual
Prefix:
First Name:LUZVIMINDA
Middle Name:
Last Name:SCHIFFER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:LUZVIMINDA
Other - Middle Name:
Other - Last Name:MARCOTTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:13925 INTERURBAN AVE S STE 120
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98168-5718
Mailing Address - Country:US
Mailing Address - Phone:206-948-0096
Mailing Address - Fax:
Practice Address - Street 1:22419 PACIFIC HWY S # 3
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198-5106
Practice Address - Country:US
Practice Address - Phone:253-271-8629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60594190101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health