Healthcare Provider Details
I. General information
NPI: 1003761990
Provider Name (Legal Business Name): THEXERA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1155 SE CITY BEACH ST UNIT 1084
OAK HARBOR WA
98277-2948
US
IV. Provider business mailing address
1155 SE CITY BEACH ST UNIT 1084
OAK HARBOR WA
98277-2948
US
V. Phone/Fax
- Phone: 360-639-0887
- Fax:
- Phone: 360-639-0887
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
VALARIE
GARSTIN
Title or Position: OWNER
Credential: LMFT
Phone: 360-929-3300