Healthcare Provider Details

I. General information

NPI: 1619386521
Provider Name (Legal Business Name): DARCI FREEMAN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2014
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 W FLORENTIA PL
SEATTLE WA
98119-1849
US

IV. Provider business mailing address

731 W FLORENTIA PL
SEATTLE WA
98119-1849
US

V. Phone/Fax

Practice location:
  • Phone: 425-445-8080
  • Fax:
Mailing address:
  • Phone: 425-445-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number100504
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number60497185
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: