Healthcare Provider Details

I. General information

NPI: 1437013844
Provider Name (Legal Business Name): HEART STORY COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 WOODLAND SQUARE LOOP SE STE A16
LACEY WA
98503-1000
US

IV. Provider business mailing address

3503 13TH AVE SW
OLYMPIA WA
98512-5582
US

V. Phone/Fax

Practice location:
  • Phone: 360-564-6968
  • Fax:
Mailing address:
  • Phone: 707-951-3389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE MARIE CROWELL
Title or Position: CLINICAL SOCIAL WORKER
Credential: LICSW
Phone: 360-564-6968