Organization Active NPI

Harbor Child and Family Therapy, PLLC

  • Marriage & Family Therapist
  • Gig Harbor, WA
National Provider Identifier
1093176265
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00001897 Issued in WA
Legal business name
HARBOR CHILD AND FAMILY THERAPY, PLLC
Practice address
6625 Wagner Way NW
Suite 250
Gig Harbor, WA 98335-8392
Phone
(253) 208-4258
NPI assigned
Mar 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David B Walker, LMFT
Title
Marriage and Family Therapist
Phone
(253) 208-4258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X LF00001897 WA Primary

Addresses

Primary practice location

6625 Wagner Way NW
Suite 250
Gig Harbor, WA 98335-8392

Mailing address

3210 42ND Ave NW
Gig Harbor, WA 98335-8036
Phone (253) 208-4258

National Provider Directory

National Provider Directory

Locations

6625 Wagner Way
Ste 250
Gig Harbor, WA 98335
Phone (253) 358-7176

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1093176265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 42ND AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358036",
            "telephone_number": "253-208-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 WAGNER WAY NW",
            "address_2": "SUITE 250",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358392",
            "telephone_number": "253-208-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR CHILD AND FAMILY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "253-208-4258",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00001897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.