Healthcare Provider Details

I. General information

NPI: 1679405237
Provider Name (Legal Business Name): GRETA HILL DE ANGELIS LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 S JACKSON ST
SEATTLE WA
98104-3802
US

IV. Provider business mailing address

3003 62ND AVE SW
SEATTLE WA
98116-2705
US

V. Phone/Fax

Practice location:
  • Phone: 415-216-9382
  • Fax:
Mailing address:
  • Phone: 415-216-9382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number70136750
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: