MEDICARE: ANAHATA SOMATIC THERAPY PLLC

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

General Provider Information

NPI Number	:	1275476319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANAHATA SOMATIC THERAPY PLLC

Provider Business Mailing Address
First Line	:	1709 E UNION ST APT 201
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-4116
Country	:	US
Telephone Number	:	203-947-6649
Fax Number	:

Provider Business Practice Location Address
First Line	:	1709 E UNION ST APT 201
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-4116
Country	:	US
Telephone Number	:	203-947-6649
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALEXYS GONZALEZ
Credential	:	LMHC
Telephone Number	:	203-947-6649

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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