MEDICARE: SOUNDVIEW BEHAVIORAL HEALTH, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363L00000X	Nurse Practitioner
2	106H00000X	Marriage & Family Therapist
3	101YA0400X	Addiction (Substance Use Disorder) Counselor
4	101YM0800X	Mental Health Counselor
5	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1578424248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUNDVIEW BEHAVIORAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	2531 VICTOR ST
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-2240
Country	:	US
Telephone Number	:	360-592-3377
Fax Number	:	206-385-7373

Provider Business Practice Location Address
First Line	:	2531 VICTOR ST
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-2240
Country	:	US
Telephone Number	:	360-223-9540
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	FELICIA LYNN
Credential	:
Telephone Number	:	360-223-9540

Provider Enumeration Date	:	11/20/2025
Last Update Date	:	12/12/2025

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