Healthcare Provider Details

I. General information

NPI: 1760959266
Provider Name (Legal Business Name): ALYSSA RHODES LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALYSSA VARNER LMHC

II. Dates (important events)

Enumeration Date: 11/01/2018
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 SW 136TH ST
BURIEN WA
98166-1214
US

IV. Provider business mailing address

PO BOX 5299 MS: 820-5-PCO
TACOMA WA
98415-0299
US

V. Phone/Fax

Practice location:
  • Phone: 253-257-6600
  • Fax: 206-257-6830
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60841432
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: