Healthcare Provider Details

I. General information

NPI: 1982622957
Provider Name (Legal Business Name): RACHEL A FAY MS, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 01/23/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8360 GREENWOOD AVE N #30134
SEATTLE WA
98113
US

IV. Provider business mailing address

6826 GREENWOOD AVE N STE A
SEATTLE WA
98103-5258
US

V. Phone/Fax

Practice location:
  • Phone: 206-850-8369
  • Fax:
Mailing address:
  • Phone: 206-850-8369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLF60228675
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLF60228675
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: