Healthcare Provider Details

I. General information

NPI: 1942007893
Provider Name (Legal Business Name): SHEMA COUNSELING AND COACHING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 02/27/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22722 29TH DR SE STE 100
BOTHELL WA
98021-4420
US

IV. Provider business mailing address

21225 35TH AVE SE
BOTHELL WA
98021-7854
US

V. Phone/Fax

Practice location:
  • Phone: 303-502-4543
  • Fax:
Mailing address:
  • Phone: 303-502-4543
  • 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 Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. NITISH MATTHEW
Title or Position: CEO
Credential: LMHC, LPC
Phone: 303-502-4543