Healthcare Provider Details

I. General information

NPI: 1396560140
Provider Name (Legal Business Name): WINTER SAGE COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2024
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 164TH AVE NE STE 8201164
REDMOND WA
98052-7604
US

IV. Provider business mailing address

22014 4TH PL W
BOTHELL WA
98021-8156
US

V. Phone/Fax

Practice location:
  • Phone: 206-601-4223
  • Fax:
Mailing address:
  • Phone: 206-601-4223
  • 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 StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. BARBARA MARIE WINTER
Title or Position: CEO
Credential: LMHC
Phone: 206-601-4223