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General NPI Number Information
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NPI Number | 1992582423
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Entity Type | Organization
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Legal Business Name | BE CONNECTED COUNSELING, PLLC
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Dates
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Enumeration Date | 09/08/2023
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 5211 38TH AVE SW APT C
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City | SEATTLE
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State | WA
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Zip | 98126-2868
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Country | US
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Telephone | 206-657-7024
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Fax |
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Provider Business Mailing Address
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Address Line | 6523 CALIFORNIA AVE SW # 415
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City | SEATTLE
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State | WA
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Zip | 98136-1833
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER AND SOLE MEMBER
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Name | BAILEY WALTHER
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Credential | LMHC
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Telephone | 206-657-7024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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