MEDICARE: GABRIELLA FLINT LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MC61478993	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MC61478993	OTHER	WA	WASHINGTON DEPARTMENT OF HEALTH

General Provider Information

NPI Number	:	1225890965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLA FLINT LMHC

Provider Business Mailing Address
First Line	:	2711 E MADISON ST STE 207
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112-4763
Country	:	US
Telephone Number	:	206-651-4191
Fax Number	:

Provider Business Practice Location Address
First Line	:	2711 E MADISON ST STE 207
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112-4763
Country	:	US
Telephone Number	:	206-651-4191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	04/08/2026

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