Healthcare Provider Details

I. General information

NPI: 1821992389
Provider Name (Legal Business Name): BASSIE COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3121 EAGLE LOOP NE
LACEY WA
98516-3145
US

IV. Provider business mailing address

3121 EAGLE LOOP NE
LACEY WA
98516-3145
US

V. Phone/Fax

Practice location:
  • Phone: 253-355-6983
  • Fax:
Mailing address:
  • Phone: 253-355-6983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BASSIE WHIPPLE
Title or Position: CEO/THERAPIST
Credential: LICSW
Phone: 253-355-6983