| NPI | 1487489134 |
|---|---|
| Doing Business As | BLACKWATER COUNSELING AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | HOLLY SHUMATE Owner 206-235-0968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-11-25 |