# ISLAND BEHAVIORAL MEDICINE, PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Island Behavioral Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447638853
- **Authorized official:** MS. PAULA LOUISE CASEY L.M.F.T. (OWNER)
- **Authorized official phone:** (360) 682-5016

## Contact information

- **Practice address:** 3208 K AVE, ANACORTES, WA 98221
- **Practice address phone:** (360) 682-5016
- **Mailing address:** PO BOX 378, ANACORTES, WA 98221-0378
- **Mailing address phone:** (360) 682-5016
- **Mailing address fax:** (360) 682-5476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LH60428818 | WA | — |
| 103T00000X | Psychologist | PY60620631 | WA | — |
| 1041C0700X | Clinical Social Worker | LW60395422 | WA | — |
| 106H00000X | Marriage & Family Therapist | LF60125307 | WA | Yes |
| 2084P0800X | Psychiatry Physician | OP60248624 | WA | — |

## Other

- **Enumeration date:** 05/18/2015
- **Last updated:** 07/31/2018