# KEEP ON DANCING MENTAL HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184013161
- **Authorized official:** DESSETTA L SMITH (BILLING/OFFICE MNGR., AUTH. OFFICIA)
- **Authorized official phone:** (425) 740-3600

## Contact information

- **Practice address:** 2722 COLBY AVE STE 328, EVERETT, WA 98201
- **Practice address phone:** (425) 740-3600
- **Practice address fax:** (425) 740-3601
- **Mailing address:** 2722 COLBY AVE, SUITE 328, EVERETT, WA 98201-3557
- **Mailing address phone:** (425) 740-3600
- **Mailing address fax:** (425) 740-3601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LW00009392 | WA | — |
| 101YP2500X | Professional Counselor | LW00009392 | WA | — |
| 104100000X | Social Worker | LW00009392 | WA | — |
| 1041C0700X | Clinical Social Worker | LW00009392 | WA | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 163W00000X | Registered Nurse | RN00059378 | WA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP30007518 | WA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2015
- **Last updated:** 09/15/2021