Healthcare Provider Details

I. General information

NPI: 1013751221
Provider Name (Legal Business Name): ANNA GRACE LOFF LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2024
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 NE 41ST ST STE 100
VANCOUVER WA
98662-7935
US

IV. Provider business mailing address

9901 NE 7TH AVE # B223D
VANCOUVER WA
98685-4523
US

V. Phone/Fax

Practice location:
  • Phone: 360-953-3199
  • Fax:
Mailing address:
  • Phone: 360-989-0655
  • Fax: 360-200-8404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH70027604
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: