Healthcare Provider Details

I. General information

NPI: 1215851258
Provider Name (Legal Business Name): MARILENE SILVA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 W BAKERVIEW RD # 101
BELLINGHAM WA
98226-8106
US

IV. Provider business mailing address

432 W BAKERVIEW RD # 101
BELLINGHAM WA
98226-8106
US

V. Phone/Fax

Practice location:
  • Phone: 360-441-7186
  • Fax:
Mailing address:
  • Phone: 360-441-7186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: KATE TEAGUE
Title or Position: CREDENTIALING
Credential:
Phone: 360-209-4216