Healthcare Provider Details

I. General information

NPI: 1215859541
Provider Name (Legal Business Name): HAVENCREST WELLNESS AND COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 7TH AVE STE 2100
SEATTLE WA
98101-1360
US

IV. Provider business mailing address

1700 7TH AVE STE 2100
SEATTLE WA
98101-1360
US

V. Phone/Fax

Practice location:
  • Phone: 360-474-7990
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: EMILY WANGUNYU
Title or Position: DIRECTOR
Credential:
Phone: 770-906-8162