Provider Demographics
NPI:1962651166
Name:MERRIE DAY, PHD - KEN DRUMMY, MSW LIFE COACHES, INC
Entity type:Organization
Organization Name:MERRIE DAY, PHD - KEN DRUMMY, MSW LIFE COACHES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MERRIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:425-747-0155
Mailing Address - Street 1:8752 122ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-5829
Mailing Address - Country:US
Mailing Address - Phone:425-747-0155
Mailing Address - Fax:425-827-9697
Practice Address - Street 1:8752 122ND AVE NE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-5829
Practice Address - Country:US
Practice Address - Phone:425-747-0155
Practice Address - Fax:425-827-9697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000060251041C0700X
WALF00001703106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty