Healthcare Provider Details

I. General information

NPI: 1376322701
Provider Name (Legal Business Name): QUINN HENDRICK BRENFLECK MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2366 EASTLAKE AVE E STE 402
SEATTLE WA
98102-3394
US

IV. Provider business mailing address

2366 EASTLAKE AVE E STE 402
SEATTLE WA
98102-3394
US

V. Phone/Fax

Practice location:
  • Phone: 206-202-3133
  • Fax:
Mailing address:
  • Phone: 253-254-5941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFTA.MG.61491908
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101200000X
TaxonomyDrama Therapist
License NumberMFTA.MG.61491908
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: