Healthcare Provider Details

I. General information

NPI: 1326489659
Provider Name (Legal Business Name): SHYLA STUART LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2013
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28312 239TH AVE SE
MAPLE VALLEY WA
98038-3345
US

IV. Provider business mailing address

28312 239TH AVE SE
MAPLE VALLEY WA
98038-3345
US

V. Phone/Fax

Practice location:
  • Phone: 253-987-6234
  • Fax:
Mailing address:
  • Phone: 253-987-6234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLF60327726
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: