Healthcare Provider Details

I. General information

NPI: 1811342504
Provider Name (Legal Business Name): LAURA SENDELBACH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2016
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2910 E MADISON ST
SEATTLE WA
98112-4214
US

IV. Provider business mailing address

1645 21ST AVE E
SEATTLE WA
98112-3402
US

V. Phone/Fax

Practice location:
  • Phone: 206-719-6237
  • Fax: 206-860-2411
Mailing address:
  • Phone: 206-719-6237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLH60924495
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60924495
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: