Organization
NW TRANSFORMATIONS CHILD AND FAMILY COUNSELING PLLC
Active
Other names
NW Transformations Child and Family Counseling PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE M EDWARDS LICSW (OWNER/MANAGER)
(360) 634-9699
Entity
Organization
Contact information
Practice address
6402 57TH CT SE, LACEY, WA 98513-4159
(360) 970-8356
(360) 539-3332
Mailing address
1420 MARVIN RD NE STE C, LACEY, WA 98516-3878
(360) 634-9699
(360) 539-3332
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518347384
—
WA
Enumeration date
08/14/2020
Last updated
01/25/2021
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