Healthcare Provider Details

I. General information

NPI: 1205286838
Provider Name (Legal Business Name): BRITTANY ADELE SELBY M.S., LMHC, MHP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2016
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6505 216TH ST SW STE 100
MOUNTLAKE TERRACE WA
98043-2089
US

IV. Provider business mailing address

6505 216TH ST SW STE 100
MOUNTLAKE TERRACE WA
98043-2089
US

V. Phone/Fax

Practice location:
  • Phone: 360-345-3960
  • Fax:
Mailing address:
  • Phone: 360-345-3960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: