Healthcare Provider Details

I. General information

NPI: 1952216293
Provider Name (Legal Business Name): ORCAS FAMILY THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 N BEACH RD STE D203
EASTSOUND WA
98245-8205
US

IV. Provider business mailing address

PO BOX 998
EASTSOUND WA
98245-0998
US

V. Phone/Fax

Practice location:
  • Phone: 206-713-5544
  • Fax:
Mailing address:
  • Phone: 206-713-5544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARISA M HENDRON
Title or Position: OWNER
Credential: LMFT
Phone: 206-713-5544