Healthcare Provider Details

I. General information

NPI: 1578868972
Provider Name (Legal Business Name): FORWARD THINKING COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2011
Last Update Date: 02/13/2023
Certification Date: 02/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9807 1ST AVE. SE.
EVERETT WA
98208-2717
US

IV. Provider business mailing address

9807 1ST AVE. SE.
EVERETT WA
98208-2717
US

V. Phone/Fax

Practice location:
  • Phone: 425-319-2977
  • Fax: 425-405-3651
Mailing address:
  • Phone: 425-319-2977
  • Fax: 425-405-3651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW 60186874
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE WILLIAMS
Title or Position: SOLE PROPRIETOR/OWNER/ADMINISTRATOR
Credential: LICSW
Phone: 425-319-2977