Provider Demographics
NPI:1699153767
Name:TENACITY COUNSELING AND COURT SERVICES, PLLC
Entity type:Organization
Organization Name:TENACITY COUNSELING AND COURT SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HORSTING
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:206-696-1565
Mailing Address - Street 1:PO BOX 77062
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98177-0062
Mailing Address - Country:US
Mailing Address - Phone:206-696-1565
Mailing Address - Fax:
Practice Address - Street 1:16113 DENSMORE AVE N
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-5828
Practice Address - Country:US
Practice Address - Phone:206-696-1565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60102069261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health