Healthcare Provider Details

I. General information

NPI: 1740197144
Provider Name (Legal Business Name): SYMONE RENE COPE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RAINIER MENTAL HEALTH 12721 NORTHEAST BEL-RED ROAD, SUITE 170
BELLEVUE WA
98005
US

IV. Provider business mailing address

5920 184TH AVE SE
ISSAQUAH WA
98027-8684
US

V. Phone/Fax

Practice location:
  • Phone: 425-264-4908
  • Fax:
Mailing address:
  • Phone: 206-372-0537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWIA.SC70135870
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: