Healthcare Provider Details

I. General information

NPI: 1093641771
Provider Name (Legal Business Name): INKROOT THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 1ST AVE UNIT 527
SEATTLE WA
98104-2210
US

IV. Provider business mailing address

4826 46TH AVE S
SEATTLE WA
98118-1822
US

V. Phone/Fax

Practice location:
  • Phone: 425-739-5363
  • Fax:
Mailing address:
  • Phone: 214-598-2817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: GARRET DAYNE PATTERSON
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: LMFT
Phone: 214-598-2817