=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497995492
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JULIA M BABKINA MA, MHP, CDPT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/03/2009
-----------------------------------------------------
Last Update Date | 01/10/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1600 E OLIVE ST SOUND MENTAL HEALTH
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98122-2735
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-384-7431
-----------------------------------------------------
Fax | 206-302-2210
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1600 E OLIVE ST SOUND MENTAL HEALTH
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98122-2735
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-302-2200
-----------------------------------------------------
Fax | 206-302-2210
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | MC60143386
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | CO60129769
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------