Healthcare Provider Details

I. General information

NPI: 1366674129
Provider Name (Legal Business Name): CARING PRESENCE PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2009
Last Update Date: 08/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 N 115TH ST STE 207
SEATTLE WA
98133-8411
US

IV. Provider business mailing address

PO BOX 11009
OLYMPIA WA
98508-1009
US

V. Phone/Fax

Practice location:
  • Phone: 206-367-3058
  • Fax: 206-523-1252
Mailing address:
  • Phone: 206-367-3058
  • Fax: 206-523-1252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLF0000863
License Number StateWA

VIII. Authorized Official

Name: CAROLYN G RODENBERG
Title or Position: OWNER
Credential: MA
Phone: 206-367-3058