Healthcare Provider Details

I. General information

NPI: 1043141641
Provider Name (Legal Business Name): MSTREET SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 MERIDIAN ST STE 215
BELLINGHAM WA
98226-5592
US

IV. Provider business mailing address

4200 MERIDIAN ST STE 215
BELLINGHAM WA
98226-5592
US

V. Phone/Fax

Practice location:
  • Phone: 369-826-7676
  • Fax: 360-826-7677
Mailing address:
  • Phone: 360-826-7676
  • Fax: 360-826-7677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MELISSA STREET
Title or Position: MENTAL HEALTH THERAPIST
Credential: LMHC
Phone: 360-826-7676