Healthcare Provider Details

I. General information

NPI: 1861975021
Provider Name (Legal Business Name): SWILENN ALEXANDRA ALMENDAREZ MA, LMHCA, MHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2018
Last Update Date: 09/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 W FRANKLIN ST
SHELTON WA
98584-3504
US

IV. Provider business mailing address

3808 S ANGELINE ST
SEATTLE WA
98118-1712
US

V. Phone/Fax

Practice location:
  • Phone: 360-763-5610
  • Fax:
Mailing address:
  • Phone: 206-461-4880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC60806547
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: