HEATHER BLACKMORE MA LMFTA NPI 1306253067

NPI Information

  • NPI: 1306253067
  • Provider Name: HEATHER BLACKMORE MA LMFTA
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 374 NE MAX WILLIAM LOOP
    POULSBO, WA
    ZIP 98370
  • Phone: (360) 649-1238

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NPI Details

HEATHER BLACKMORE MA LMFTA is an adolescent and children mental health clinic center in Poulsbo, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. HEATHER BLACKMORE MA LMFTA NPI is 1306253067. The provider is registered as an organization entity type.

The provider's business location address is:

374 NE MAX WILLIAM LOOP
POULSBO, WA
ZIP 98370
Phone: (360) 649-1238

The provider's authorized official is Heather Anne Blackmore .
The authorized official title is Owner and has the following contact phone number (360) 649-1238.

The enumeration date for this NPI number is 7/15/2014 and was last updated on 7/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthMG60354376WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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