MEDICARE: ASHLEY MARIE PLATTS 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	LH61423868	WA

General Provider Information

NPI Number	:	1447942412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY MARIE PLATTS LMHC

Provider Business Mailing Address
First Line	:	10017A MERIWETHER TRL
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98433-1239
Country	:	US
Telephone Number	:	517-260-5090
Fax Number	:

Provider Business Practice Location Address
First Line	:	509 OLIVE WAY STE 1161
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-1745
Country	:	US
Telephone Number	:	517-260-5090
Fax Number	:

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

Provider Enumeration Date	:	05/25/2023
Last Update Date	:	05/25/2023

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