Healthcare Provider Details

I. General information

NPI: 1861272155
Provider Name (Legal Business Name): NW EMPOWERMENT COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2023
Last Update Date: 08/28/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11900 NE 1ST ST STE 300
BELLEVUE WA
98005-3049
US

IV. Provider business mailing address

PO BOX 1043
MERCER ISLAND WA
98040-1043
US

V. Phone/Fax

Practice location:
  • Phone: 425-818-5816
  • Fax:
Mailing address:
  • Phone: 206-930-2019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE GASTALDI
Title or Position: OWNER
Credential:
Phone: 425-818-5816