Healthcare Provider Details

I. General information

NPI: 1578450177
Provider Name (Legal Business Name): FORENSIC TREATMENT SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414B SNOQUALMIE ST
MOUNT VERNON WA
98273-4224
US

IV. Provider business mailing address

414B SNOQUALMIE ST
MOUNT VERNON WA
98273-4224
US

V. Phone/Fax

Practice location:
  • Phone: 206-714-2180
  • Fax:
Mailing address:
  • Phone: 206-714-2180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. ALLISON OSBORNE
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: MSW, LICSW, SUDP
Phone: 206-714-2180