Healthcare Provider Details

I. General information

NPI: 1164826616
Provider Name (Legal Business Name): FRAMEWORKS CTR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2014
Last Update Date: 11/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18402 66TH AVE W
LYNNWOOD WA
98037-4236
US

IV. Provider business mailing address

PO BOX 3023
LYNNWOOD WA
98046-3023
US

V. Phone/Fax

Practice location:
  • Phone: 425-820-4717
  • Fax:
Mailing address:
  • Phone: 425-820-4717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberLH60754374
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberMC60625251
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLH60754374
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60754374
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberLH60754374
License Number StateWA

VIII. Authorized Official

Name: NAPHTALI CARLSON
Title or Position: DIRECTOR/COUNSELOR
Credential: LMHC
Phone: 206-372-4325