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HEATHER BLACKMORE MA LMFTA
NPI 1306253067
Clinic/Center - Adolescent and Children Mental Health in Poulsbo, WA

Active since July 15, 2014
374 NE MAX WILLIAM LOOP, POULSBO, WA 98370(360) 649-1238 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Blackmore Ma Lmfta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER BLACKMORE MA LMFTA (NPI 1306253067) is a healthcare organization registered as an adolescent and children mental health in Poulsbo, Washington and active in the NPI registry since July 2014. The organization lists Heather Anne Blackmore, Owner, as its authorized official.

NPPES Registry Identity

NPI1306253067
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameHEATHER BLACKMORE MA LMFTA
Location Address374 NE MAX WILLIAM LOOPPoulsbo, WA 98370
Mailing Address374 Ne Max William LoopPoulsbo, WA 98370-9169 · (360) 649-1238
Phone(360) 649-1238
Organization SubpartNo
Authorized OfficialHeather Anne BlackmoreOwner · (360) 649-1238
Enumeration DateJuly 15, 2014
✔ NPI 1306253067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in WA · MG60354376
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
374 NE MAX WILLIAM LOOP, Poulsbo, WA 98370
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Blackmore Ma Lmfta's NPI number?

The NPI number for Heather Blackmore Ma Lmfta is 1306253067. It was assigned to this organization in the NPPES registry on July 15, 2014.

Where is Heather Blackmore Ma Lmfta located?

Heather Blackmore Ma Lmfta is located at 374 NE Max William Loop, Poulsbo, WA 98370. The listed phone number is (360) 649-1238.

What is Heather Blackmore Ma Lmfta's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Heather Blackmore Ma Lmfta was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.