MEDICARE: GOOD INTENTIONS CONSULTING SERVICES

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1710799390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD INTENTIONS CONSULTING SERVICES

Provider Business Mailing Address
First Line	:	7500 BANNER WAY NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-4176
Country	:	US
Telephone Number	:	206-409-8112
Fax Number	:

Provider Business Practice Location Address
First Line	:	8400 5TH AVE NE APT 8
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-4163
Country	:	US
Telephone Number	:	206-409-8112
Fax Number	:

Authorized Official
Title or Position	:	ADMIN
Name	:	PHILLIP CARR
Credential	:
Telephone Number	:	206-409-8112

Provider Enumeration Date	:	01/22/2025
Last Update Date	:	01/22/2025

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Directions to “GOOD INTENTIONS CONSULTING SERVICES ” Practice Location

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