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General NPI Number Information
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NPI Number | 1467337246
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Entity Type | Organization
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Legal Business Name | THE PSY CENTER FOR COUNSELING & EVALUATIONS, P.S.
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Dates
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Enumeration Date | 08/09/2025
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 5470 SHILSHOLE AVE NW STE 400
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City | SEATTLE
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State | WA
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Zip | 98107-4040
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Country | US
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Telephone | 206-840-8082
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Fax |
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Provider Business Mailing Address
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Address Line | 4311 ACACIA LN SE
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City | PORT ORCHARD
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State | WA
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Zip | 98366-1006
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Country | US
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Telephone | 206-840-8082
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. ELIZETH J CHAVEZ
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Credential | PHD, MA
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Telephone | 206-840-8082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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