Provider Demographics
NPI:1396144150
Name:CSIMPLEWORKS, PLLC
Entity type:Organization
Organization Name:CSIMPLEWORKS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / FAMILY SYSTEMS THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:TAKEUCHI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC, LMFTA
Authorized Official - Phone:425-876-2773
Mailing Address - Street 1:16825 48TH AVE W
Mailing Address - Street 2:SUITE 306
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-6401
Mailing Address - Country:US
Mailing Address - Phone:425-876-2773
Mailing Address - Fax:
Practice Address - Street 1:16825 48TH AVE W
Practice Address - Street 2:SUITE 306
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-6401
Practice Address - Country:US
Practice Address - Phone:425-876-2773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60137691261QM0801X
WALH60329296W261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)