Healthcare Provider Details

I. General information

NPI: 1336604594
Provider Name (Legal Business Name): CRISIS CONNECTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2019
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 3RD AVE SUITE 100
SEATTLE WA
98121-1037
US

IV. Provider business mailing address

PO BOX 19612
SEATTLE WA
98109-6612
US

V. Phone/Fax

Practice location:
  • Phone: 206-461-3210
  • Fax: 206-461-8368
Mailing address:
  • Phone: 206-461-3210
  • Fax: 206-461-8368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JEANINE GARCIA
Title or Position: BUSINESS MANAGER
Credential:
Phone: 206-436-2981