Healthcare Provider Details

I. General information

NPI: 1578428058
Provider Name (Legal Business Name): TRUE NORTH THERAPY GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 MAIN ST STE 207
FERNDALE WA
98248-9060
US

IV. Provider business mailing address

1855 MAIN ST STE 207
FERNDALE WA
98248-9060
US

V. Phone/Fax

Practice location:
  • Phone: 206-755-2001
  • Fax:
Mailing address:
  • Phone: 206-755-2001
  • 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: NICHOLAS JAYE EVANS
Title or Position: CLINICAL DIRECTOR & CEO
Credential: LMHC
Phone: 206-920-9738