Healthcare Provider Details

I. General information

NPI: 1730826454
Provider Name (Legal Business Name): LINDA SMITH CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2022
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16300 MILL CREEK BLVD STE G1
MILL CREEK WA
98012-1279
US

IV. Provider business mailing address

16300 MILL CREEK BLVD STE G1
MILL CREEK WA
98012-1279
US

V. Phone/Fax

Practice location:
  • Phone: 425-273-4861
  • Fax:
Mailing address:
  • Phone: 425-273-4861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: LINDA MARIE SMITH
Title or Position: OWNER
Credential: LMHC
Phone: 425-273-4861