MEDICARE: THE NARRATIVE SHIFT,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
1	106H00000X	Marriage & Family Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225651672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE NARRATIVE SHIFT,LLC

Provider Business Mailing Address
First Line	:	2600 SW TALON LOOP
Second Line	:
City	:	OAK HARBOR
State	:	WA
Zip	:	98277-8140
Country	:	US
Telephone Number	:	360-672-2182
Fax Number	:

Provider Business Practice Location Address
First Line	:	715 SE FIDALGO AVE
Second Line	:
City	:	OAK HARBOR
State	:	WA
Zip	:	98277-4007
Country	:	US
Telephone Number	:	360-672-5229
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	MRS. STEPHANIE PASSMORE
Credential	:	LMFTA, LMHCA
Telephone Number	:	360-672-2182

Provider Enumeration Date	:	05/20/2020
Last Update Date	:	05/20/2020

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Directions to “THE NARRATIVE SHIFT,LLC ” Practice Location

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