=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336084805
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ARMIN PANJVANI
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/21/2026
-----------------------------------------------------
Last Update Date | 04/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2027 196TH ST SW STE A205
-----------------------------------------------------
City | LYNNWOOD
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98036-7073
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-216-8850
-----------------------------------------------------
Fax | 425-216-8858
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2027 196TH ST SW
-----------------------------------------------------
City | LYNNWOOD
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98036-7073
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-216-8850
-----------------------------------------------------
Fax | 425-216-8858
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------