Healthcare Provider Details

I. General information

NPI: 1194662627
Provider Name (Legal Business Name): SHREYA NAROPANTULA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3245 FAIRVIEW AVE E STE 200
SEATTLE WA
98102-3053
US

IV. Provider business mailing address

2017 S LANE ST
SEATTLE WA
98144-2913
US

V. Phone/Fax

Practice location:
  • Phone: 206-552-8491
  • Fax:
Mailing address:
  • Phone: 206-538-9712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC61579854
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: