=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699256933
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REACH BEYOND COUNSELING AND COACHING SERVICES PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/24/2018
-----------------------------------------------------
Last Update Date | 10/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15 S GRADY WAY STE 610
-----------------------------------------------------
City | RENTON
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98057-3218
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-679-8291
-----------------------------------------------------
Fax | 206-274-6252
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15 S GRADY WAY STE 610
-----------------------------------------------------
City | RENTON
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98057-3218
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-679-8291
-----------------------------------------------------
Fax | 206-274-6252
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER,PROVIDER
-----------------------------------------------------
Name | GENISE RACHELLE BAGBY
-----------------------------------------------------
Credential | MA,LMHC,SUDP,DVIT
-----------------------------------------------------
Telephone | 206-679-8291
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number | LH60844525
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------