Healthcare Provider Details

I. General information

NPI: 1285447748
Provider Name (Legal Business Name): ECLIPSE COUNSELING & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15072 178TH AVE SE
MONROE WA
98272-2722
US

IV. Provider business mailing address

122 N BLAKELEY ST PMB 321
MONROE WA
98272-9998
US

V. Phone/Fax

Practice location:
  • Phone: 425-320-0533
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH KEEN
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: M.S., NCC, LMHC, LPC
Phone: 425-221-1189