Healthcare Provider Details

I. General information

NPI: 1548835523
Provider Name (Legal Business Name): ABBY TOMLINSON LMFTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2021
Last Update Date: 05/23/2021
Certification Date: 05/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12900 NE 180TH ST STE 160
BOTHELL WA
98011-5778
US

IV. Provider business mailing address

10251 RIDGELINE DR APT C390
KENNEWICK WA
99338-2429
US

V. Phone/Fax

Practice location:
  • Phone: 206-910-9476
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: