Healthcare Provider Details

I. General information

NPI: 1487830378
Provider Name (Legal Business Name): LISA SWIHART MS, CN, LMHC, CSAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2008
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 FARINA LOOP SE
OLYMPIA WA
98513-9442
US

IV. Provider business mailing address

1542 FARINA LOOP SE
OLYMPIA WA
98513-9442
US

V. Phone/Fax

Practice location:
  • Phone: 206-949-1875
  • Fax:
Mailing address:
  • Phone: 206-949-1875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberNU60039905
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60733636
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: