Healthcare Provider Details

I. General information

NPI: 1205762259
Provider Name (Legal Business Name): TWIN CITY FOUNDATIONS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 S DIAMOND ST
CENTRALIA WA
98531-3817
US

IV. Provider business mailing address

625 S DIAMOND ST
CENTRALIA WA
98531-3817
US

V. Phone/Fax

Practice location:
  • Phone: 360-736-5460
  • Fax: 360-736-5460
Mailing address:
  • Phone: 360-736-5460
  • Fax: 360-736-5460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KATRINA ILENE MEIER
Title or Position: OWNER
Credential: MSW LICSW
Phone: 360-880-2449