Provider Demographics
NPI:1588106256
Name:BARB A ANDERSON, LMHC, LLC
Entity type:Organization
Organization Name:BARB A ANDERSON, LMHC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:206-948-7573
Mailing Address - Street 1:9331 244TH ST SW APT T304
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-7545
Mailing Address - Country:US
Mailing Address - Phone:206-948-7573
Mailing Address - Fax:425-277-3909
Practice Address - Street 1:9331 244TH ST SW APT T304
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-7545
Practice Address - Country:US
Practice Address - Phone:206-948-7573
Practice Address - Fax:425-277-3909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-13
Last Update Date:2016-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60063091101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty