HEATHER BLACKMORE MA LMFTA – NPI #1306253067
Clinic/Center

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.

Health Care Provider Taxonomy Code for Clinic/Center

HEATHER BLACKMORE MA LMFTA is an AHC clinic located in POULSBO, WA. NPPES has assigned the NPI number 1306253067 to HEATHER BLACKMORE MA LMFTA on July 15, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HEATHER BLACKMORE MA LMFTA below.

NPI Profile for
HEATHER BLACKMORE MA LMFTA

NPI Number
1306253067
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HEATHER BLACKMORE MA LMFTA
Primary location
374 NE MAX WILLIAM LOOP
POULSBO, WA 98370
Phone: (360) 649-1238 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HEATHER BLACKMORE
OWNER
Phone: (360) 649-1238
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)		 WA MG60354376

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.