Healthcare Provider Details

I. General information

NPI: 1316888209
Provider Name (Legal Business Name): HEATHER K DAVIDSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 CORNWALL AVE STE 205
BELLINGHAM WA
98225-4642
US

IV. Provider business mailing address

1616 CORNWALL AVE STE 205
BELLINGHAM WA
98225-4642
US

V. Phone/Fax

Practice location:
  • Phone: 360-305-4455
  • Fax:
Mailing address:
  • Phone: 360-305-4455
  • Fax:

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:
Title or Position:
Credential:
Phone: