Healthcare Provider Details

I. General information

NPI: 1306699202
Provider Name (Legal Business Name): ANNA BABCOCK COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2024
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18516 101ST AVE NE STE 3
BOTHELL WA
98011-3874
US

IV. Provider business mailing address

PO BOX 1624
BOTHELL WA
98041-1624
US

V. Phone/Fax

Practice location:
  • Phone: 206-552-9703
  • Fax: 206-397-0883
Mailing address:
  • Phone: 206-484-5942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
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: ANNA ARLENE BABCOCK
Title or Position: OWNER AND LICENSED COUNSELOR
Credential: MA, LMHC
Phone: 206-552-9703