Healthcare Provider Details

I. General information

NPI: 1487944112
Provider Name (Legal Business Name): KATHERINE MARIE REYNOLDS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2011
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14090 FRYELANDS BLVD SE STE 234
MONROE WA
98272-2763
US

IV. Provider business mailing address

7901 4TH ST N
ST PETERSBURG FL
33702-4305
US

V. Phone/Fax

Practice location:
  • Phone: 425-343-8581
  • Fax: 877-724-9988
Mailing address:
  • Phone: 425-343-8581
  • Fax: 877-724-9988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60312723
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: