Healthcare Provider Details

I. General information

NPI: 1629993712
Provider Name (Legal Business Name): HERON COVE COUNSELING & CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4405 7TH AVE SE STE 200
LACEY WA
98503-1055
US

IV. Provider business mailing address

4405 7TH AVE SE STE 200
LACEY WA
98503-1055
US

V. Phone/Fax

Practice location:
  • Phone: 253-254-6020
  • Fax:
Mailing address:
  • Phone: 253-254-6020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE BIANCHI-GREEN
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: MS, LMFT
Phone: 253-254-6020