Healthcare Provider Details

I. General information

NPI: 1124649819
Provider Name (Legal Business Name): FEMME AND THEM, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2020
Last Update Date: 02/25/2022
Certification Date: 02/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 RAINIER AVE S STE C-206
SEATTLE WA
98118-2407
US

IV. Provider business mailing address

625 W RAILROAD AVE # 216
SHELTON WA
98584-3522
US

V. Phone/Fax

Practice location:
  • Phone: 360-450-4405
  • Fax:
Mailing address:
  • Phone: 360-450-4405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KAYA COLIN
Title or Position: OWNER/THERAPIST
Credential: MSW, LMHC
Phone: 360-450-4405