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PHYLLISS MARIE EBERHARDY MS LMFT CCDCI NPI 1265515951


NPI Information

NPI: 1265515951
Provider Name: PHYLLISS MARIE EBERHARDY, MS LMFT CCDCI
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
11126 SE 256TH STREET
SUITE O 204
KENT, WA
ZIP 98030
Phone: (253) 852-1586
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Phylliss Marie Eberhardy, MS LMFT CCDCI is an addiction (substance use disorder) counselor in Kent, WA. Phylliss Marie Eberhardy, MS LMFT CCDCI NPI is 1265515951. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11126 SE 256TH STREET
SUITE O 204
KENT, WA
ZIP 98030-636
Phone: (253) 852-1586
Fax: (253) 852-7751

The enumeration date for this NPI number is 10/24/2006 and was last updated on 7/8/2007.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)CB00006138WASHINGTONYes
2106H00000XMarriage & Family TherapistLF00001439WASHINGTONX

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: 5/5/2024

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