Healthcare Provider Details

I. General information

NPI: 1871327676
Provider Name (Legal Business Name): TAYLOR RIDENOUR COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 S JACKSON ST STE 301
SEATTLE WA
98104-2872
US

IV. Provider business mailing address

108 S JACKSON ST STE 301
SEATTLE WA
98104-2872
US

V. Phone/Fax

Practice location:
  • Phone: 509-255-3213
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TAYLOR RIDENOUR
Title or Position: OWNER
Credential: LMHC
Phone: 509-255-3213