Healthcare Provider Details

I. General information

NPI: 1528776580
Provider Name (Legal Business Name): HEATHER L TAYLOR COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2022
Last Update Date: 07/13/2023
Certification Date: 07/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 112TH AVE NE STE 200
BELLEVUE WA
98004-2945
US

IV. Provider business mailing address

2105 112TH AVE NE STE 200
BELLEVUE WA
98004-2945
US

V. Phone/Fax

Practice location:
  • Phone: 206-569-8147
  • Fax:
Mailing address:
  • Phone: 206-569-8147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. HEATHER LYNN TAYLOR
Title or Position: PSYCHOLOGIST/OWNER
Credential: PSYD
Phone: 206-569-8147