Healthcare Provider Details
I. General information
NPI: 1801228523
Provider Name (Legal Business Name): WEST SEATTLE PSYCHOTHERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/05/2013
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4102 N 33RD ST
TACOMA WA
98407
US
IV. Provider business mailing address
4102 N. 33RD ST.
TACOMA WA
98407
US
V. Phone/Fax
- Phone: 206-595-2648
- Fax:
- Phone: 206-595-2648
- Fax: 855-890-3787
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | 60186879 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KAREN
M
ARMAND
Title or Position: HEALTHCARE PROVIDER/OWNER
Credential: PHD
Phone: 206-595-2648