Provider Demographics
NPI:1992204754
Name:YEAGER, TABITHA M (LMFT, MHP, CMHS)
Entity type:Individual
Prefix:MS
First Name:TABITHA
Middle Name:M
Last Name:YEAGER
Suffix:
Gender:F
Credentials:LMFT, MHP, CMHS
Other - Prefix:
Other - First Name:TABITHA
Other - Middle Name:M
Other - Last Name:HOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT, MHP, CMHS
Mailing Address - Street 1:5620 N VISTA GRANDE DR
Mailing Address - Street 2:
Mailing Address - City:OTIS ORCHARDS
Mailing Address - State:WA
Mailing Address - Zip Code:99027-9105
Mailing Address - Country:US
Mailing Address - Phone:509-869-7586
Mailing Address - Fax:509-903-1005
Practice Address - Street 1:23801 E APPLEWAY AVE STE 110
Practice Address - Street 2:
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019-9687
Practice Address - Country:US
Practice Address - Phone:509-869-7586
Practice Address - Fax:509-903-1005
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF61182699106H00000X
WAMG60962556106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist