MEDICARE: BEYOND BINARY PSYCHOTHERAPY

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1992632566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYOND BINARY PSYCHOTHERAPY

Provider Business Mailing Address
First Line	:	3609 168TH ST NE UNIT 3073
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-0706
Country	:	US
Telephone Number	:	425-530-5516
Fax Number	:

Provider Business Practice Location Address
First Line	:	3609 168TH ST NE UNIT 3073
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-0706
Country	:	US
Telephone Number	:	425-530-5516
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELISSA BUDROS
Credential	:	BSW,CPC
Telephone Number	:	425-530-5516

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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