Healthcare Provider Details

I. General information

NPI: 1598409831
Provider Name (Legal Business Name): EMILY REYES LMFTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2022
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 OLD MILITARY RD NE STE 103
BREMERTON WA
98311-3242
US

IV. Provider business mailing address

7500 OLD MILITARY RD NE STE 103
BREMERTON WA
98311-3242
US

V. Phone/Fax

Practice location:
  • Phone: 360-698-9258
  • Fax:
Mailing address:
  • Phone: 360-698-8258
  • Fax: 360-698-9296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMG61562262
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: