Provider Demographics
NPI:1194607986
Name:INDIGENOUS COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:INDIGENOUS COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QUANAH
Authorized Official - Middle Name:
Authorized Official - Last Name:YELLOW CLOUD
Authorized Official - Suffix:
Authorized Official - Credentials:LSWAIC
Authorized Official - Phone:203-214-8194
Mailing Address - Street 1:720 SENECA ST STE 107
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-3265
Mailing Address - Country:US
Mailing Address - Phone:203-214-8194
Mailing Address - Fax:833-448-2067
Practice Address - Street 1:720 SENECA ST STE 107
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-3265
Practice Address - Country:US
Practice Address - Phone:203-214-8194
Practice Address - Fax:833-448-2067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-22
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty