JOHANNAH LACY MAYBACH NPI 1902533748

NPI Information

NPI: 1902533748
Provider Name: JOHANNAH LACY MAYBACH
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
22525 MARINE VIEW DR S
DES MOINES, WA
ZIP 98198
Phone: (206) 762-3214
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Johannah Lacy Maybach is a professional counselor in Des Moines, WA. Johannah Lacy Maybach NPI is 1902533748. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22525 MARINE VIEW DR S
DES MOINES, WA
ZIP 98198-831
Phone: (206) 762-3214

The enumeration date for this NPI number is 8/2/2022 and was last updated on 8/2/2022.

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
1	101YP2500X	Counselor	Professional	MFTA.MG.61342650	WASHINGTON	Yes

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: 5/5/2024

NPI Synchronization or Removal

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