Healthcare Provider Details

I. General information

NPI: 1558833053
Provider Name (Legal Business Name): BASSIE BABLIE WHIPPLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2018
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3121 EAGLE LOOP NE
OLYMPIA WA
98516-3145
US

IV. Provider business mailing address

3121 EAGLE LOOP NE
OLYMPIA WA
98516-3145
US

V. Phone/Fax

Practice location:
  • Phone: 253-355-6983
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLW61377155
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: