Healthcare Provider Details

I. General information

NPI: 1518019629
Provider Name (Legal Business Name): BARBARA E SEWELL MAMFC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 114TH AVE SE STE 100
BELLEVUE WA
98004-6934
US

IV. Provider business mailing address

6026 5TH AVE NW
SEATTLE WA
98107-2119
US

V. Phone/Fax

Practice location:
  • Phone: 425-451-3239
  • Fax: 425-688-1286
Mailing address:
  • Phone: 206-781-5297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00005871
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: