Healthcare Provider Details

I. General information

NPI: 1467377846
Provider Name (Legal Business Name): LAURAL CASAL COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

785 ERICKSEN AVE NE STE 118
BAINBRIDGE ISLAND WA
98110-3283
US

IV. Provider business mailing address

11240 N MADISON AVE NE
BAINBRIDGE IS WA
98110-3351
US

V. Phone/Fax

Practice location:
  • Phone: 206-413-8042
  • Fax:
Mailing address:
  • Phone: 206-413-8042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: LAURAL CASAL
Title or Position: OWNER
Credential: LMHC
Phone: 206-413-8042