Provider Demographics
NPI:1083208029
Name:BRINGS HIM BACK, CAROLINE GRACE (LMHC, LPC)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:GRACE
Last Name:BRINGS HIM BACK
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:GRACE
Other - Last Name:SHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, LPC
Mailing Address - Street 1:108 SE 124TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684
Mailing Address - Country:US
Mailing Address - Phone:850-572-4584
Mailing Address - Fax:
Practice Address - Street 1:811 NE 112TH AVE STE 106
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-5115
Practice Address - Country:US
Practice Address - Phone:360-553-1350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-20
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC8073101YM0800X
WAMC61024206101YM0800X
WALH61250817101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health