Healthcare Provider Details

I. General information

NPI: 1235043167
Provider Name (Legal Business Name): AMANDA ANN WEBB LMHC, PSYCHOANALYST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2027 19TH AVE S
SEATTLE WA
98144-4407
US

IV. Provider business mailing address

2027 19TH AVE S
SEATTLE WA
98144-4407
US

V. Phone/Fax

Practice location:
  • Phone: 206-550-2103
  • Fax:
Mailing address:
  • Phone: 206-550-2103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00011173
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: