Healthcare Provider Details

I. General information

NPI: 1568903128
Provider Name (Legal Business Name): MERCEDES CUEVAS MA, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2017
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 15TH AVE S STE 103
SEATTLE WA
98108-1874
US

IV. Provider business mailing address

1819 N 107TH ST UNIT 104
SEATTLE WA
98133-8979
US

V. Phone/Fax

Practice location:
  • Phone: 425-610-7406
  • Fax:
Mailing address:
  • Phone: 509-264-0162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: