Provider Demographics
NPI:1811340516
Name:SAPPHIRE TREE COUNSELING AND CONSULTING LLC
Entity type:Organization
Organization Name:SAPPHIRE TREE COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLGATE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:253-217-3734
Mailing Address - Street 1:1819 CENTRAL AVE S
Mailing Address - Street 2:SUITE 112
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-7501
Mailing Address - Country:US
Mailing Address - Phone:253-335-9490
Mailing Address - Fax:
Practice Address - Street 1:1819 CENTRAL AVE S
Practice Address - Street 2:SUITE 112
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-7501
Practice Address - Country:US
Practice Address - Phone:253-335-9490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty