| Theraheard Llc | |
|
119 Oyler Way Ethel WA 98542-9700 | |
| (253) 228-1768 | |
| (360) 443-7570 |
| Full Name | Theraheard Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 119 Oyler Way, Ethel, Washington |
| Authorized Official Name and Position | Christina Fajardo (THERAPIST) |
| Authorized Official Contact | 2532281768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theraheard Llc 119 Oyler Way Ethel WA 98542-9700 Ph: (253) 228-1768 | Theraheard Llc 119 Oyler Way Ethel WA 98542-9700 Ph: (253) 228-1768 |
| NPI Number | 1043180458 |
|---|---|
| Provider Enumeration Date | 11/10/2025 |
| Last Update Date | 11/10/2025 |
| Certification Date | 11/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043180458 | NPI | - | NPPES |
| PENDING | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |