Healthcare Provider Details

I. General information

NPI: 1699606210
Provider Name (Legal Business Name): LITTLE MOMENTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 NE BLAKELEY ST STE 3B
SEATTLE WA
98105-3168
US

IV. Provider business mailing address

2901 NE BLAKELEY ST STE 3B
SEATTLE WA
98105-3168
US

V. Phone/Fax

Practice location:
  • Phone: 206-880-1891
  • 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: YVONNE ONTIVEROS
Title or Position: OWNER
Credential: LICSW
Phone: 206-880-1891