Healthcare Provider Details

I. General information

NPI: 1386573574
Provider Name (Legal Business Name): JOEDANNA COY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 S 38TH CT FL 2
RENTON WA
98055-5777
US

IV. Provider business mailing address

9644 24TH AVE SW
SEATTLE WA
98106-2628
US

V. Phone/Fax

Practice location:
  • Phone: 425-984-5359
  • Fax:
Mailing address:
  • Phone: 930-333-1591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCA.MC.70097064
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: