Healthcare Provider Details

I. General information

NPI: 1235064858
Provider Name (Legal Business Name): REFRESH THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 W COLUMBIA WAY STE 400
VANCOUVER WA
98660-3613
US

IV. Provider business mailing address

PO BOX 272
RIDGEFIELD WA
98642-0272
US

V. Phone/Fax

Practice location:
  • Phone: 360-284-1463
  • Fax: 360-326-7224
Mailing address:
  • Phone: 360-284-1463
  • Fax: 360-326-7224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DIANNA BARNETTE
Title or Position: CHIEF OF STAFF
Credential:
Phone: 360-433-9664