Healthcare Provider Details

I. General information

NPI: 1447138748
Provider Name (Legal Business Name): DE'YUANA MONAE' CLARIDA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 SW HOLDEN ST
SEATTLE WA
98126-3505
US

IV. Provider business mailing address

2905 1ST AVE APT 206
SEATTLE WA
98121-1002
US

V. Phone/Fax

Practice location:
  • Phone: 206-933-7050
  • Fax:
Mailing address:
  • Phone: 910-742-1616
  • Fax: 910-742-1616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1447138748
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: