NPI 1053855734

Authentic Transformations LLC

Organisation Psychologist Bellingham, WA

Practice location

Address: 1112 11th St STE 301, Bellingham, WA 98225-6654
Phone: (360) 225-7073
Mailing address: 3617 Westhills Pl, Bellingham, WA 98226-4174

Authorised official

Name: Marcel Anthony van Eerd
Title: Executive Director
Phone: (480) 277-5919

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PY60611766 (WA)

Other Psychologist providers in Washington →

Registry record

NPI: 1053855734
Entity type: Organization
NPI issued: 14 Dec 2016
Record last updated: 14 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.