Healthcare Provider Details

I. General information

NPI: 1174430367
Provider Name (Legal Business Name): MKTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3607 33RD AVE SW
SEATTLE WA
98126-2331
US

IV. Provider business mailing address

3607 33RD AVE SW
SEATTLE WA
98126-2331
US

V. Phone/Fax

Practice location:
  • Phone: 425-961-2531
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MARKETA KOPECKA
Title or Position: OWNER
Credential:
Phone: 425-961-2531