# EBTSL PSYCHIATRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EVIDENCE BASED TREATMENT CENTERS OF SEATTLE, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275369563
- **Legal business name:** EVIDENCE BASED TREATMENT CENTERS OF SEATTLE, PLLC
- **Authorized official:** ADRIENNE C BENNETT BS (CLINIC COORDINATOR)
- **Authorized official phone:** (425) 361-9272

## Contact information

- **Practice address:** 2225 E MURRAY HOLLADAY RD STE 116, HOLLADAY, UT 84117-5382
- **Practice address phone:** (877) 919-4521
- **Mailing address:** 2225 E MURRAY HOLLADAY RD STE 116, HOLLADAY, UT 84117-5382
- **Mailing address phone:** (877) 919-4521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2024
- **Last updated:** 09/12/2024