=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952216293
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ORCAS FAMILY THERAPY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2026
-----------------------------------------------------
Last Update Date | 08/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 109 N BEACH RD STE D203
-----------------------------------------------------
City | EASTSOUND
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98245-8205
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-713-5544
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 998
-----------------------------------------------------
City | EASTSOUND
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98245-0998
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-713-5544
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MARISA M HENDRON
-----------------------------------------------------
Credential | LMFT
-----------------------------------------------------
Telephone | 206-713-5544
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------