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General NPI Number Information
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NPI Number | 1518554278
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Entity Type | Organization
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Legal Business Name | CULTIVATE THERAPY PLLC
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 355 118TH AVE SE STE 200
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City | BELLEVUE
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State | WA
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Zip | 98005-3554
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Country | US
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Telephone | 425-382-8735
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Fax |
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Provider Business Mailing Address
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Address Line | 1037 NE 65TH ST # 82124
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City | SEATTLE
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State | WA
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Zip | 98115-6655
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Country | US
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Telephone | 425-382-8735
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINA VALERIE LIM YRANELA
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Credential |
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Telephone | 425-382-8735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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