Provider Demographics
NPI:1427879568
Name:SEATTLE FAMILY THERAPY, INC
Entity type:Organization
Organization Name:SEATTLE FAMILY THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:G
Authorized Official - Last Name:PENNANT
Authorized Official - Suffix:JR
Authorized Official - Credentials:LMFT
Authorized Official - Phone:206-457-3485
Mailing Address - Street 1:600 N 36TH ST STE 403
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8699
Mailing Address - Country:US
Mailing Address - Phone:267-997-8744
Mailing Address - Fax:
Practice Address - Street 1:600 N 36TH ST STE 403
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8699
Practice Address - Country:US
Practice Address - Phone:206-457-3485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)