Provider Demographics
NPI:1194158584
Name:RAIN CITY THERAPY ASSOCIATES, PLLC
Entity type:Organization
Organization Name:RAIN CITY THERAPY ASSOCIATES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ISABEL
Authorized Official - Last Name:ADAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:425-582-5642
Mailing Address - Street 1:6100 219TH ST SW
Mailing Address - Street 2:STE 480
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-2222
Mailing Address - Country:US
Mailing Address - Phone:425-582-5642
Mailing Address - Fax:425-224-2758
Practice Address - Street 1:6100 219TH ST SW
Practice Address - Street 2:STE 480
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-2222
Practice Address - Country:US
Practice Address - Phone:425-582-5642
Practice Address - Fax:425-224-2758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60040720101YM0800X
WALH60306239101YM0800X
WALH00006306101YM0800X
WAAP60316424363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty