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General NPI Number Information
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NPI Number | 1043603905
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Entity Type | Organization
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Legal Business Name | VIVOMOMENTIS, PS
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Dates
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Enumeration Date | 03/16/2015
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 4122 FACTORIA BLVD SE STE 405
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City | BELLEVUE
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State | WA
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Zip | 98006-5259
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Country | US
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Telephone | 425-242-6267
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Fax |
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Provider Business Mailing Address
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Address Line | 4122 FACTORIA BLVD SE STE 405
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City | BELLEVUE
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State | WA
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Zip | 98006-5259
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Country | US
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Telephone | 425-242-6267
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MELANIE D VALLEE
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Credential | MA, LMFT, LMHC, PHDC
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Telephone | 425-389-1427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CO60281317
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60492836
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF60521657
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License Number State | WA
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