Provider Demographics
NPI:1992923114
Name:STEPFAMILY SOLUTIONS LLC
Entity type:Organization
Organization Name:STEPFAMILY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:WHITE
Authorized Official - Last Name:SAGARIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:360-779-4005
Mailing Address - Street 1:PO BOX 2902
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370
Mailing Address - Country:US
Mailing Address - Phone:360-779-4005
Mailing Address - Fax:360-394-1707
Practice Address - Street 1:19500 10TH AVE. NE
Practice Address - Street 2:SUITE 200
Practice Address - City:POULBO
Practice Address - State:WA
Practice Address - Zip Code:98370
Practice Address - Country:US
Practice Address - Phone:360-779-4005
Practice Address - Fax:360-394-1707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004475101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA=========OtherFEDERAL EIN