Provider Demographics
NPI:1063266377
Name:GERRI T THERAPY, PLLC
Entity type:Organization
Organization Name:GERRI T THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:206-317-4388
Mailing Address - Street 1:4065 173RD PL SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-5929
Mailing Address - Country:US
Mailing Address - Phone:206-317-4388
Mailing Address - Fax:
Practice Address - Street 1:375 118TH AVE SE STE 204
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3575
Practice Address - Country:US
Practice Address - Phone:206-317-4388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)