Healthcare Provider Details

I. General information

NPI: 1922961747
Provider Name (Legal Business Name): WEST OAK THERAPY & CONSULTATION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 ORCHARD AVE S
EATONVILLE WA
98328
US

IV. Provider business mailing address

PO BOX 194
EATONVILLE WA
98328-0194
US

V. Phone/Fax

Practice location:
  • Phone: 253-235-3002
  • Fax:
Mailing address:
  • Phone: 253-235-3002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER WEINMANN
Title or Position: OWNER
Credential: LMFT
Phone: 253-235-3002