Healthcare Provider Details

I. General information

NPI: 1598500142
Provider Name (Legal Business Name): SEATTLE SERENITY THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 S GRADY WAY STE 600
RENTON WA
98057-3227
US

IV. Provider business mailing address

707 S GRADY WAY STE 600
RENTON WA
98057-3227
US

V. Phone/Fax

Practice location:
  • Phone: 425-552-4675
  • Fax: 253-409-2492
Mailing address:
  • Phone: 425-552-4675
  • Fax: 253-409-2492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: TAISYA STRELYUK
Title or Position: OWNER/CEO
Credential:
Phone: 253-258-1259