Healthcare Provider Details

I. General information

NPI: 1033538236
Provider Name (Legal Business Name): COOPER HOUSE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 14TH AVE E
SEATTLE WA
98112-5275
US

IV. Provider business mailing address

225 14TH AVE E
SEATTLE WA
98112-5275
US

V. Phone/Fax

Practice location:
  • Phone: 206-402-3168
  • Fax: 206-329-1256
Mailing address:
  • Phone: 206-402-3168
  • Fax: 206-329-1256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: PAULA HARDY
Title or Position: OFFICE MANAGER
Credential:
Phone: 206-946-8604