Healthcare Provider Details

I. General information

NPI: 1326270521
Provider Name (Legal Business Name): HEIDI LUCINDA DAWN MARSOLEK MA, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. HEIDI SHENK

II. Dates (important events)

Enumeration Date: 08/20/2009
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 N STEELE ST
TACOMA WA
98406-7714
US

IV. Provider business mailing address

808 N I ST
TACOMA WA
98403-2014
US

V. Phone/Fax

Practice location:
  • Phone: 425-870-2198
  • Fax:
Mailing address:
  • Phone: 425-293-3161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: