Healthcare Provider Details

I. General information

NPI: 1912431784
Provider Name (Legal Business Name): NOURA PYAMI MS, LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2017
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1498 SE TECH CENTER PL
VANCOUVER WA
98683-9591
US

IV. Provider business mailing address

1498 SE TECH CENTER PL
VANCOUVER WA
98683-9591
US

V. Phone/Fax

Practice location:
  • Phone: 360-619-2226
  • Fax: 360-567-2212
Mailing address:
  • Phone: 360-619-2226
  • Fax: 360-567-2212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number61596768
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: