Healthcare Provider Details

I. General information

NPI: 1962526046
Provider Name (Legal Business Name): THE YOUNG MENS CHRISTIAN ASSOCIATION OF GREATER SEATTLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 4TH AVE
SEATTLE WA
98104-1194
US

IV. Provider business mailing address

909 4TH AVE
SEATTLE WA
98104-1194
US

V. Phone/Fax

Practice location:
  • Phone: 206-382-7893
  • Fax:
Mailing address:
  • Phone: 206-382-7893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SARA LACY SUNDAR
Title or Position: PROGRAM EXECUTIVE
Credential:
Phone: 206-413-5519