Healthcare Provider Details

I. General information

NPI: 1750297669
Provider Name (Legal Business Name): MAR MENTAL HEALTH THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5572 SKYFALL PL NW
BREMERTON WA
98312-7801
US

IV. Provider business mailing address

5572 SKYFALL PL NW
BREMERTON WA
98312-7801
US

V. Phone/Fax

Practice location:
  • Phone: 541-630-3888
  • Fax: 360-251-0821
Mailing address:
  • Phone: 541-630-3888
  • Fax: 360-251-0821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. MARGARET A ROBERTSON
Title or Position: CEO
Credential: LMHC, LPC, DMIN
Phone: 541-630-3888