Healthcare Provider Details

I. General information

NPI: 1538086715
Provider Name (Legal Business Name): HITZTALER COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 STEVENSON AVE STE 204
ENUMCLAW WA
98022-2647
US

IV. Provider business mailing address

1110 STEVENSON AVE STE 204
ENUMCLAW WA
98022-2647
US

V. Phone/Fax

Practice location:
  • Phone: 253-254-8249
  • Fax: 844-214-7530
Mailing address:
  • Phone: 253-254-8249
  • Fax: 844-214-7530

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: JOY ELIZABETH HITZTALER
Title or Position: OWNER, THERAPIST
Credential: MA, LMHC
Phone: 253-254-8249