Healthcare Provider Details

I. General information

NPI: 1871251884
Provider Name (Legal Business Name): ALEXYS F GONZALEZ MA, LMHC, RYT 200
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2021
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1709 E UNION ST APT 201
SEATTLE WA
98122-4116
US

IV. Provider business mailing address

1709 E UNION ST APT 201
SEATTLE WA
98122-4116
US

V. Phone/Fax

Practice location:
  • Phone: 203-947-6649
  • Fax:
Mailing address:
  • Phone: 203-947-6649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC.LH.70090511
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: