Healthcare Provider Details
I. General information
NPI: 1558271098
Provider Name (Legal Business Name): PREMIER BEHAVIORAL HEALTH ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
801 2ND AVE STE 1415
SEATTLE WA
98104-1517
US
IV. Provider business mailing address
2226 EASTLAKE AVE E UNIT 167
SEATTLE WA
98102-3419
US
V. Phone/Fax
- Phone: 206-302-8587
- Fax:
- Phone: 206-302-8587
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SEAN
ORPEN
Title or Position: MANAGING PARTNER
Credential: MS, LMFT-S, CST-S
Phone: 206-302-8587