Healthcare Provider Details

I. General information

NPI: 1992412084
Provider Name (Legal Business Name): LUCINDA ROWLEY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2022
Last Update Date: 10/31/2022
Certification Date: 10/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8490 MUKILTEO SPEEDWAY STE 214
MUKILTEO WA
98275-3210
US

IV. Provider business mailing address

7820 199TH AVE SE
SNOHOMISH WA
98290-7485
US

V. Phone/Fax

Practice location:
  • Phone: 360-348-9251
  • Fax:
Mailing address:
  • Phone: 206-992-5829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LUCINDA ROWLEY
Title or Position: OWNER
Credential: LMFT, SUDP
Phone: 206-992-5829