MEDICARE: ERIN PRIOR-GILLUNG HARTLEY LMFT

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	106H00000X	Marriage & Family Therapist	1229-224	WI
2	106H00000X	Marriage & Family Therapist	203471	TX
3	106H00000X	Marriage & Family Therapist	T1570	OR
4	106H00000X	Marriage & Family Therapist	LMFT90728	CA
5	106H00000X	Marriage & Family Therapist	MFT0001566	CO
6	106H00000X	Marriage & Family Therapist	61131754	WA

General Provider Information

NPI Number	:	1932519154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN PRIOR-GILLUNG HARTLEY LMFT

Provider Business Mailing Address
First Line	:	7511 GREENWOOD AVE N UNIT 4337
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-4627
Country	:	US
Telephone Number	:	510-473-6263
Fax Number	:

Provider Business Practice Location Address
First Line	:	6421 49TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1332
Country	:	US
Telephone Number	:	510-473-6263
Fax Number	:

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

Provider Enumeration Date	:	04/28/2014
Last Update Date	:	08/23/2023

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