Healthcare Provider Details

I. General information

NPI: 1225069933
Provider Name (Legal Business Name): LOUISE T HARRIS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27023 164TH AVE SE
COVINGTON WA
98042-8241
US

IV. Provider business mailing address

27023 164TH AVE SE
COVINGTON WA
98042-8241
US

V. Phone/Fax

Practice location:
  • Phone: 206-769-4870
  • Fax:
Mailing address:
  • Phone: 206-769-4870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLH00003878
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: