Provider Demographics
NPI:1831257963
Name:FORTE, AZURE (LMHC, TEP)
Entity type:Individual
Prefix:MS
First Name:AZURE
Middle Name:
Last Name:FORTE
Suffix:
Gender:F
Credentials:LMHC, TEP
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:FORTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14909 NE 202ND ST
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-6488
Mailing Address - Country:US
Mailing Address - Phone:413-768-9120
Mailing Address - Fax:
Practice Address - Street 1:18500 156TH AVE NE STE 203
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-4459
Practice Address - Country:US
Practice Address - Phone:413-768-9120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MACAQHOtherCOUNSEL FOR AFFORDABLE QU