MEDICARE: LAYLA BUSHEE COUNSELING 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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1558172924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAYLA BUSHEE COUNSELING PLLC

Provider Business Mailing Address
First Line	:	825 LEGION WAY SE STE 3A
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98501-1586
Country	:	US
Telephone Number	:	206-636-1246
Fax Number	:

Provider Business Practice Location Address
First Line	:	825 LEGION WAY SE STE 3A
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98501-1586
Country	:	US
Telephone Number	:	206-636-1246
Fax Number	:

Authorized Official
Title or Position	:	LICENSED MENTAL HEALTH COUNSELOR
Name	:	MRS. LAYLA MONETTE BUSHEE
Credential	:	LMHC
Telephone Number	:	206-636-1246

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	01/15/2025

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