Provider Demographics
NPI:1992582928
Name:ACKLEY, EMILY (LMFTA)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:ACKLEY
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:SCHEUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6219 89TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-4511
Mailing Address - Country:US
Mailing Address - Phone:206-962-0274
Mailing Address - Fax:
Practice Address - Street 1:6219 89TH AVE SE
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-4511
Practice Address - Country:US
Practice Address - Phone:206-962-0274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist