Healthcare Provider Details

I. General information

NPI: 1487376059
Provider Name (Legal Business Name): KATHERINE SAVAGE BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date: 01/10/2023
Reactivation Date: 08/27/2025

III. Provider practice location address

8444 RAINIER AVE S
SEATTLE WA
98118-4655
US

IV. Provider business mailing address

325 W GOWE ST
KENT WA
98032-5892
US

V. Phone/Fax

Practice location:
  • Phone: 253-833-7444
  • Fax: 253-661-8631
Mailing address:
  • Phone: 253-833-7444
  • Fax: 253-661-8631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCA.MC.70163864
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCAAR.CG.61364965
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: