Healthcare Provider Details

I. General information

NPI: 1932399359
Provider Name (Legal Business Name): KENT YOUTH AND FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 2ND AVE S STE 201
KENT WA
98032-5862
US

IV. Provider business mailing address

232 2ND AVE S STE 201
KENT WA
98032-5862
US

V. Phone/Fax

Practice location:
  • Phone: 253-859-0300
  • Fax: 253-859-0745
Mailing address:
  • Phone: 253-859-0300
  • Fax: 253-859-0745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateWA

VIII. Authorized Official

Name: BRENDA L ROGERS
Title or Position: DIRECTOR OF BEHAVIORAL HEALTH
Credential: LMFT
Phone: 253-859-0300