Provider Demographics
NPI:1134009376
Name:SLATE FAMILY SERVICES, LLC
Entity type:Organization
Organization Name:SLATE FAMILY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:LEANN
Authorized Official - Last Name:FIERRO
Authorized Official - Suffix:
Authorized Official - Credentials:BSHS, LCMHCA INTERN
Authorized Official - Phone:360-464-8656
Mailing Address - Street 1:508 2ND ST SE APT SUITE
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-7638
Mailing Address - Country:US
Mailing Address - Phone:360-919-4744
Mailing Address - Fax:
Practice Address - Street 1:508 2ND ST SE
Practice Address - Street 2:
Practice Address - City:YELM
Practice Address - State:WA
Practice Address - Zip Code:98597-7638
Practice Address - Country:US
Practice Address - Phone:360-919-4744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty