MEDICARE: GOOD SPACE THERAPY

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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1316880768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD SPACE THERAPY

Provider Business Mailing Address
First Line	:	108 S JACKSON ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-3802
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 S JACKSON ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-3802
Country	:	US
Telephone Number	:	360-347-6240
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAMANTHA STONE
Credential	:	LMHC
Telephone Number	:	360-347-6240

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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Directions to “GOOD SPACE THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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