Healthcare Provider Details

I. General information

NPI: 1881198844
Provider Name (Legal Business Name): NAVIGATE NORTHWEST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2018
Last Update Date: 03/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23106 100TH AVE W
EDMONDS WA
98020-5018
US

IV. Provider business mailing address

8707 202ND ST SW
EDMONDS WA
98026-6645
US

V. Phone/Fax

Practice location:
  • Phone: 206-459-7994
  • Fax:
Mailing address:
  • Phone: 425-409-7422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberLF00002675
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License NumberLF0002675
License Number StateWA

VIII. Authorized Official

Name: HEATHER MARIE SUND
Title or Position: EXECUTIVE DIRECTOR
Credential: LMFT
Phone: 206-459-7994