Healthcare Provider Details

I. General information

NPI: 1558732073
Provider Name (Legal Business Name): CIARA PEMBERTON M.A., LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CIARA HILL

II. Dates (important events)

Enumeration Date: 10/09/2015
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 4TH AVE NE
SEATTLE WA
98115-2152
US

IV. Provider business mailing address

446 N 130TH ST
SEATTLE WA
98133-7910
US

V. Phone/Fax

Practice location:
  • Phone: 206-302-1200
  • Fax: 877-516-8135
Mailing address:
  • Phone: 504-940-4013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: