OrganizationActive
Lactation Consultation & Maintaining Wellness, P.s.
NPI 1164017190 · Nursing Care Agency · Olympia, WA
Provider details
- NPI number
- 1164017190
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Sarah Cassidy, President(360) 292-5146
Specialties & taxonomies
Agencies
- Early Intervention Provider Agency252Y00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Practice location
2120 Pacific Ave Se
Olympia, WA 98506-4753
Phone: (360) 292-5146
Fax: (360) 252-8855
Approximate (ZIP-level) locationGet directions
Mailing address
4026 61st Ct Sw
Olympia, WA 98512-7028
Registry dates
- Enumerated
- 2021-03-02
- Last updated
- 2021-03-02
- Certified
- 2021-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.