Healthcare Provider Details

I. General information

NPI: 1629806633
Provider Name (Legal Business Name): DONNA M JAMES PHD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

838 NE 83RD ST
SEATTLE WA
98115-4203
US

IV. Provider business mailing address

838 NE 83RD ST
SEATTLE WA
98115-4203
US

V. Phone/Fax

Practice location:
  • Phone: 206-618-6037
  • Fax:
Mailing address:
  • Phone: 206-618-6037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. DONNA MARIE JAMES
Title or Position: PRESIDINT
Credential: MHC
Phone: 206-618-6037