Healthcare Provider Details

I. General information

NPI: 1720448376
Provider Name (Legal Business Name): JOYA GOODHUE-HILBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2016
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 SW 152ND ST
BURIEN WA
98166-2027
US

IV. Provider business mailing address

2120 SW 152ND ST
BURIEN WA
98166-2027
US

V. Phone/Fax

Practice location:
  • Phone: 206-244-7973
  • Fax:
Mailing address:
  • Phone: 206-244-7973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCA.MC.61191203
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00017932
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: