Healthcare Provider Details

I. General information

NPI: 1033648449
Provider Name (Legal Business Name): BLESSED BY NATURE THERAPY AND LEARNING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2017
Last Update Date: 09/15/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1476 BOON HOLLOW LN
OAK HARBOR WA
98277-8184
US

IV. Provider business mailing address

1476 BOON HOLLOW LN
OAK HARBOR WA
98277-8184
US

V. Phone/Fax

Practice location:
  • Phone: 206-949-2859
  • Fax:
Mailing address:
  • Phone: 206-949-2859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STAR SINCLAIR JONES
Title or Position: CEO AND SLP
Credential: SLP
Phone: 206-949-2859