Healthcare Provider Details

I. General information

NPI: 1639522931
Provider Name (Legal Business Name): ERIN SATHYAMOORTHY MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN STONNER

II. Dates (important events)

Enumeration Date: 07/21/2016
Last Update Date: 01/26/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2033 6TH AVE STE 826
SEATTLE WA
98121-2593
US

IV. Provider business mailing address

2033 6TH AVE STE 826
SEATTLE WA
98121-2593
US

V. Phone/Fax

Practice location:
  • Phone: 206-414-8918
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: