Healthcare Provider Details

I. General information

NPI: 1497326508
Provider Name (Legal Business Name): CATALYST COUNSELING AND CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2021
Last Update Date: 07/09/2021
Certification Date: 07/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 RAINIER AVE S STE C202
SEATTLE WA
98118-2407
US

IV. Provider business mailing address

5600 RAINIER AVE S STE C202
SEATTLE WA
98118-2407
US

V. Phone/Fax

Practice location:
  • Phone: 425-374-1821
  • Fax: 206-327-9508
Mailing address:
  • Phone: 425-374-1821
  • Fax: 206-327-9508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. BRANDON TRIPP
Title or Position: OWNER / ASSOC. CLINICAL DIR.
Credential: MAC, LMHC, SUDP, SAP
Phone: 425-374-1821