Healthcare Provider Details

I. General information

NPI: 1376455956
Provider Name (Legal Business Name): BRWN. PSYCHOTHERAPY & WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 S JACKSON ST
SEATTLE WA
98144-2443
US

IV. Provider business mailing address

PO BOX 98756
DES MOINES WA
98198-0756
US

V. Phone/Fax

Practice location:
  • Phone: 206-249-6860
  • Fax:
Mailing address:
  • Phone: 206-249-6860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ROBYN JE'BRIA MANAWAY
Title or Position: OWNER
Credential:
Phone: 206-249-6860