1033648449 NPI number — BLESSED BY NATURE THERAPY AND LEARNING CENTER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033648449 NPI number — BLESSED BY NATURE THERAPY AND LEARNING CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BLESSED BY NATURE THERAPY AND LEARNING CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033648449
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1476 BOON HOLLOW LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OAK HARBOR
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98277-8184
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-949-2859
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1476 BOON HOLLOW LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAK HARBOR
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98277-8184
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-949-2859
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/08/2017

Additional Information

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
STAR
Authorized Official Middle Name:
SINCLAIR
Authorized Official Title or Position:
CEO AND SLP
Authorized Official Telephone Number:
206-949-2859

Provider Taxonomy Codes

  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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