Healthcare Provider Details

I. General information

NPI: 1689711319
Provider Name (Legal Business Name): ASSOCIATES IN MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 05/03/2023
Certification Date: 11/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 N STATE ST STE 404
BELLINGHAM WA
98225-5024
US

IV. Provider business mailing address

1155 N STATE ST STE 404
BELLINGHAM WA
98225-5024
US

V. Phone/Fax

Practice location:
  • Phone: 360-715-2488
  • Fax: 360-671-1842
Mailing address:
  • Phone: 360-715-2488
  • Fax: 360-671-1842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LETISHA STOKES
Title or Position: OFFICE MANAGER
Credential:
Phone: 360-715-2488