EARTH STAR LLC NPI 1154734531

NPI Information

NPI: 1154734531
Provider Name: EARTH STAR LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2829 NE 113TH ST
SEATTLE, WA
ZIP 98125
Phone: (206) 380-0368
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EARTH STAR LLC is a mental health counselor in Seattle, WA. EARTH STAR LLC NPI is 1154734531. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2829 NE 113TH ST
SEATTLE, WA
ZIP 98125-744
Phone: (206) 380-0368

The provider's authorized official is Evan Kimble .
The authorized official title is Owner and has the following contact phone number (206) 380-0368.

The enumeration date for this NPI number is 6/3/2014 and was last updated on 6/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA00005295	WASHINGTON	No
2	101YM0800X	Counselor	Mental Health	LH60083354	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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