Healthcare Provider Details

I. General information

NPI: 1457288417
Provider Name (Legal Business Name): THE COUNSELING COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 MAIN ST STE 5
EASTSOUND WA
98245-5510
US

IV. Provider business mailing address

PO BOX 951
EASTSOUND WA
98245-0951
US

V. Phone/Fax

Practice location:
  • Phone: 916-413-8544
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CASSANDRA PERRYMAN
Title or Position: CLINICAL DIRECTOR
Credential: LPCC LMHC
Phone: 916-413-8544