Healthcare Provider Details
I. General information
NPI: 1154526200
Provider Name (Legal Business Name): LORI ANNE OBBIE MA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/19/2007
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
110 W CRAWFORD ST STE J
DEER PARK WA
99006-5614
US
IV. Provider business mailing address
19 S VERNON AVE UNIT 705
DEER PARK WA
99006-1210
US
V. Phone/Fax
- Phone: 509-505-0655
- Fax:
- Phone: 509-505-0655
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | LH60802697 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: