Healthcare Provider Details

I. General information

NPI: 1740328855
Provider Name (Legal Business Name): MITCHELL CENTER FOR NATURAL HEALING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 01/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 NE 68TH STREET
SEATTLE WA
98115
US

IV. Provider business mailing address

853 NE 68TH STREET
SEATTLE WA
98115
US

V. Phone/Fax

Practice location:
  • Phone: 206-284-6040
  • Fax: 206-284-7943
Mailing address:
  • Phone: 206-284-6040
  • Fax: 206-284-7943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00002979
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW00000304
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00020461
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00020460
License Number StateWA
# 5
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00001420
License Number StateWA

VIII. Authorized Official

Name: DR. LEAH M MITCHELL
Title or Position: OWNER
Credential: ND, LM, LMP
Phone: 206-284-6040