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NPI Code Detail

MEDICARE: NOETIC HEALTH LLC

MEDICARE: NOETIC HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
2106H00000XMarriage & Family Therapist
3101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1114382512
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOETIC HEALTH LLC
Provider Business Mailing Address
First Line : 4405 7TH AVE SE STE 200
Second Line : PMB 0802
City : LACEY
State : WA
Zip : 98503-1055
Country : US
Telephone Number : 360-539-8255
Fax Number : 360-774-8476
Provider Business Practice Location Address
First Line : 4405 7TH AVE SE STE 200
Second Line : PMB 0802
City : LACEY
State : WA
Zip : 98503-1055
Country : US
Telephone Number : 360-539-8255
Fax Number : 360-774-8476
Authorized Official
Title or Position : OWNER
Name : LISA SWIHART
Credential : MS, CN, LMHC, CSAT
Telephone Number : 360-539-8255
Provider Enumeration Date : 12/30/2015
Last Update Date : 09/26/2025

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Directions to “NOETIC HEALTH LLC ” Practice Location

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