Healthcare Provider Details

I. General information

NPI: 1225158769
Provider Name (Legal Business Name): LUMMI INDIAN BUSINESS COUNCIL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2608 KWINA RD
BELLINGHAM WA
98226-9291
US

IV. Provider business mailing address

2592 KWINA RD
BELLINGHAM WA
98226-9278
US

V. Phone/Fax

Practice location:
  • Phone: 360-312-2019
  • Fax:
Mailing address:
  • Phone: 360-384-0464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KELLIE J SYFERT
Title or Position: BUSINESS OFFICE DIRECTOR
Credential:
Phone: 360-380-6937