Healthcare Provider Details

I. General information

NPI: 1235254251
Provider Name (Legal Business Name): LYNN ELWOOD LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 02/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 E MADISON ST SUITE 203
SEATTLE WA
98122-2843
US

IV. Provider business mailing address

1812 E MADISON ST SUITE 203
SEATTLE WA
98122-2843
US

V. Phone/Fax

Practice location:
  • Phone: 206-856-5896
  • Fax:
Mailing address:
  • Phone: 206-856-5896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberRC00038923
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00011282
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: