Provider Demographics
NPI:1841721073
Name:STAND BY YOU THERAPY, PLLC
Entity type:Organization
Organization Name:STAND BY YOU THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALSER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFTA
Authorized Official - Phone:206-607-9146
Mailing Address - Street 1:7650 SE 27TH ST UNIT 503
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-3065
Mailing Address - Country:US
Mailing Address - Phone:206-607-9146
Mailing Address - Fax:
Practice Address - Street 1:2116 NE 28TH ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-2224
Practice Address - Country:US
Practice Address - Phone:206-607-9146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-21
Last Update Date:2017-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60731386106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty