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NPI Code Detail

MEDICARE: SEATTLE THERAPY PLLC

MEDICARE: SEATTLE THERAPY 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1750181863
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEATTLE THERAPY PLLC
Provider Business Mailing Address
First Line : 6523 CALIFORNIA AVE SW # 7
Second Line :
City : SEATTLE
State : WA
Zip : 98136-1833
Country : US
Telephone Number : 206-486-6167
Fax Number : 206-501-4388
Provider Business Practice Location Address
First Line : 6553 CALIFORNIA AVE SW STE B
Second Line :
City : SEATTLE
State : WA
Zip : 98136-1896
Country : US
Telephone Number : 206-486-6167
Fax Number : 206-501-4388
Authorized Official
Title or Position : OWNER/PSYCHOTHERAPIST
Name : LESLI DESAI
Credential : LICSW
Telephone Number : 206-486-6167
Provider Enumeration Date : 03/17/2025
Last Update Date : 03/17/2025

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Directions to “SEATTLE THERAPY PLLC ” Practice Location

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