REFRESH THERAPY, INC (NPI# 1225403454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225403454 |
Entity Type | Organization |
Organization Name | REFRESH THERAPY, INC |
Practice Address |
1319 Ne 134th St # 111 Vancouver WA 98685-2717 |
Practice Telephone | 3609077069 |
Practice Fax Number | 3603267224 |
Mailing Telephone | 3609077069 |
Mailing Fax Number | 3603267224 |
Enumeration Date | 2015-12-14 |
Last Update Date | 2015-12-14 |
Authorized Official Name | BRYANNA GOODMAN (CEO) |
Authorized Official Telephone | 3609077069 |
Authorized Official Credential | LMFT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 106H00000X | Marriage & Family Therapist | LF00002654 | WA | Behavioral Health & Social Service Providers |
Y | 106H00000X | Marriage & Family Therapist | LF60139869 | WA | Behavioral Health & Social Service Providers |
Street Address |
1319 NE 134TH ST # 111 |
City | VANCOUVER |
State | WA |
Zip Code | 98685-2717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265914469 | Karissa Gayle Martin | Counselor | 1319 Ne 134th St # 111, Vancouver, WA 98685-2717 | 2018-09-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225650112 | Zachary Dodds | Massage Therapist | 12314 Nw 42nd Ct, Vancouver, WA 98685 | 2020-05-13 |
1760996425 | Eric Moore | Physical Therapy Assistant | 1308 Ne 134th Street, Suite 110, Vancouver, WA 98685 | 2017-11-16 |
1942711767 | Julie B Lawrence | Nurse Practitioner | 900 Ne 139th Street, Suite 202, Vancouver, WA 98685 | 2017-10-19 |
1538688668 | Carrie Roxann Wolfe | Counselor | 1313 Ne 134th St Ste 220a, Vancouver, WA 98685 | 2017-09-09 |
1548719461 | Mirror Pond Dental, LLC | Dentist | 1412 Ne 134th St. Suite 120, Vancouver, WA 98685 | 2016-10-04 |
1629522958 | Deanna Carter | Massage Therapist | 1319 Ne 134th Street, Vancouver, WA 98685 | 2016-08-03 |
1417329020 | Kaleen Hoyt | Massage Therapist | 1319 Nw 134th St Suit 103, Vancuver, WA 98685 | 2015-10-22 |
1497173066 | Kelley Heffelfinger | Behavioral Analyst | 9901 Ne 7th Ave., Suite C-116, Vancouver, WA 98685 | 2014-04-01 |
1548512791 | Elana S Kier | Social Worker | 10000 Ne 7th Ave Ste 100b, Vancouver, WA 98685 | 2012-10-12 |
1922370469 | Brian R Timms | Chiropractor | 1412 Ne 134th St Ste 100, Vancouver, WA 98685 | 2012-01-30 |
Find all providers in zip 98685 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548735095 | Meghann Smith | Marriage & Family Therapist | 12800 Ne 4th St Apt 23, Vancouver, WA 98684-5095 | 2018-10-11 |
1033576285 | Joshua Michael Schnellbach | Marriage & Family Therapist | 11801 Ne 65th St Ste A, Vancouver, WA 98662-5527 | 2016-01-19 |
1821472606 | Denise Burningham | Marriage & Family Therapist | 4601 E 18th St Apt 167, Vancouver, WA 98661-6251 | 2015-07-12 |
1174954911 | Susan Louise Kelsay | Marriage & Family Therapist | 201 Se 124th Ave., #203, Vancouver, WA 98684 | 2013-12-04 |
1659713444 | Integrity Counseling | Marriage & Family Therapist | 201 Se 124th Ave Ste 203, Vancouver, WA 98684-6067 | 2013-07-23 |
1376880518 | Ezra Kilfoil | Marriage & Family Therapist | 1104 Main St Ste 440, Vancouver, WA 98660-2955 | 2013-01-08 |
1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
1235494477 | Breya Chantarabunchorn | Marriage & Family Therapist | 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173 | 2012-07-12 |
1033483391 | Therapeutic Change | Marriage & Family Therapist | 3305 Main St Ste 24, Vancouver, WA 98663-2234 | 2012-03-05 |
1023394509 | Lacey Meehan | Marriage & Family Therapist | 10000 Ne 7th Ave Ste 410, Vancouver, WA 98685-4548 | 2011-10-27 |
Find all providers in VANCOUVER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.