Healthcare Provider Details

I. General information

NPI: 1992938971
Provider Name (Legal Business Name): EVE A MCCARTHY LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2009
Last Update Date: 07/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 2ND AVE SUITE 208
SEATTLE WA
98101-1155
US

IV. Provider business mailing address

1902 2ND AVE SUITE 208 CCS ADULT MENTAL HEALTH
SEATTLE WA
98122-2735
US

V. Phone/Fax

Practice location:
  • Phone: 206-956-9571
  • Fax: 206-448-8495
Mailing address:
  • Phone: 206-956-9571
  • Fax: 206-448-9571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC60265337
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: