Provider Demographics
NPI:1154798718
Name:BOTANICAL HEALTHCARE LLC
Entity type:Organization
Organization Name:BOTANICAL HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JOCELAN
Authorized Official - Middle Name:KASE
Authorized Official - Last Name:CARMICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-305-1619
Mailing Address - Street 1:13525 32ND AVE NE
Mailing Address - Street 2:SUIT A
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-8613
Mailing Address - Country:US
Mailing Address - Phone:206-466-1766
Mailing Address - Fax:
Practice Address - Street 1:13525 32ND AVE NE
Practice Address - Street 2:SUIT A
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-8613
Practice Address - Country:US
Practice Address - Phone:206-466-1766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-28
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 133N00000X, 171100000X, 171R00000X, 173000000X, 1744R1102X, 1744R1103X, 1835P1200X, 246ZS0410X
WANT60431064175F00000X
WANT60452686175F00000X
WANT00000965175F00000X
WAVA00050624183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No171R00000XOther Service ProvidersInterpreterGroup - Multi-Specialty
No173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty
No1744R1102XOther Service ProvidersSpecialistResearch StudyGroup - Multi-Specialty
No1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/CoderGroup - Multi-Specialty
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Multi-Specialty
No183700000XPharmacy Service ProvidersPharmacy TechnicianGroup - Multi-Specialty
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Multi-Specialty