Provider Demographics
NPI:1912737628
Name:PORCH LIGHT COUNSELING PLLC
Entity type:Organization
Organization Name:PORCH LIGHT COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:KASPER
Authorized Official - Suffix:
Authorized Official - Credentials:MSED LMHC
Authorized Official - Phone:360-908-7017
Mailing Address - Street 1:7050 SEAWITCH LN NW
Mailing Address - Street 2:
Mailing Address - City:SEABECK
Mailing Address - State:WA
Mailing Address - Zip Code:98380-9745
Mailing Address - Country:US
Mailing Address - Phone:360-908-7017
Mailing Address - Fax:
Practice Address - Street 1:7050 SEAWITCH LN NW
Practice Address - Street 2:
Practice Address - City:SEABECK
Practice Address - State:WA
Practice Address - Zip Code:98380-9745
Practice Address - Country:US
Practice Address - Phone:360-908-7017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty