Healthcare Provider Details

I. General information

NPI: 1134907678
Provider Name (Legal Business Name): PEAK COUPLES AND SEX THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 BROADWAY E UNIT A
SEATTLE WA
98102-4529
US

IV. Provider business mailing address

8401 MAYLAND DR STE 8432
RICHMOND VA
23294-4648
US

V. Phone/Fax

Practice location:
  • Phone: 920-819-0659
  • Fax:
Mailing address:
  • Phone: 920-819-0659
  • 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 Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANDREA BATTIOLA
Title or Position: OWNER
Credential: LPC
Phone: 920-819-0659