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SEATTLE NEUROCOUNSELING PLLC NPI 1437898772


NPI Information

NPI: 1437898772
Provider Name: SEATTLE NEUROCOUNSELING, PLLC

Doing Business As: SEATTLE NEUROCOUNSELING

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
12220 113TH AVE NE STE 210
KIRKLAND, WA
ZIP 98034
Phone: (425) 403-5765
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SEATTLE NEUROCOUNSELING, PLLC is a mental health (including community mental health center) clinic center in Kirkland, WA. SEATTLE NEUROCOUNSELING, PLLC NPI is 1437898772. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Seattle Neurocounseling.

The provider's business location address is:

12220 113TH AVE NE STE 210
KIRKLAND, WA
ZIP 98034-950
Phone: (425) 403-5765

The provider's authorized official is Carmen Benway .
The authorized official title is Counselor and has the following contact phone number (425) 403-5765.

The enumeration date for this NPI number is 6/3/2022 and was last updated on 11/2/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
4251S00000XCommunity/Behavioral HealthNo
5261QM0850XClinic/CenterAdult Mental HealthNo
6101YM0800XCounselorMental HealthNo
7101YA0400XCounselorAddiction (Substance Use Disorder)No
8261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
9261QM2500XClinic/CenterMedical SpecialtyNo
10363L00000XNurse PractitionerNo
11261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12238102MEDICAIDWASHINGTON

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: 4/28/2024

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