OrganizationActive
Heather Blackmore Ma Lmfta
NPI 1306253067 · Adolescent and Children Mental Health Clinic/Center · Poulsbo, WA
Provider details
- NPI number
- 1306253067
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Heather Blackmore, Owner(360) 649-1238
- License
- MG60354376 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
374 Ne Max William Loop
Poulsbo, WA 98370
Phone: (360) 649-1238
Approximate (ZIP-level) locationGet directions
Mailing address
374 Ne Max William Loop
Poulsbo, WA 98370-9169
Registry dates
- Enumerated
- 2014-07-15
- Last updated
- 2014-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.