Healthcare Provider Details
I. General information
NPI: 1275475733
Provider Name (Legal Business Name): THROUGH THE WAVES THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 DUPONT ST STE 1E
BELLINGHAM WA
98225-3100
US
IV. Provider business mailing address
1200 DUPONT ST STE 1E
BELLINGHAM WA
98225-3100
US
V. Phone/Fax
- Phone: 425-256-0582
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CLARE
MAVEN
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: LMFT
Phone: 425-256-0582