Provider Demographics
NPI:1063801942
Name:SEATTLE HEALING ARTS PLLC
Entity type:Organization
Organization Name:SEATTLE HEALING ARTS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:KATIE
Authorized Official - Last Name:RICHER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:206-765-8265
Mailing Address - Street 1:1817 QUEEN ANNE AVE N STE 204
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2876
Mailing Address - Country:US
Mailing Address - Phone:206-765-8265
Mailing Address - Fax:
Practice Address - Street 1:1817 QUEEN ANNE AVE N STE 204
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2876
Practice Address - Country:US
Practice Address - Phone:206-765-8265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-15
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WALH61027651OtherWA LICENSED MENTAL HEALTH COUNSELOR LICENSE