Healthcare Provider Details

I. General information

NPI: 1104174465
Provider Name (Legal Business Name): NUA COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2012
Last Update Date: 08/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 3RD AVE SUITE 325
SEATTLE WA
98121-3418
US

IV. Provider business mailing address

2505 3RD AVE SUITE 325
SEATTLE WA
98121-3418
US

V. Phone/Fax

Practice location:
  • Phone: 206-905-4667
  • Fax:
Mailing address:
  • Phone: 206-905-4667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDP00004561
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00010987
License Number StateWA

VIII. Authorized Official

Name: MS. ERIN LYNCH
Title or Position: ADMINISTRATOR
Credential: LMHC, CDP, MAC
Phone: 206-905-4667