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Organization
PIIQ SPACE PC
Active
Organization
PIIQ SPACE PC
Active
Other names
MJR Counseling & Consultation PLLC, Piiq Space
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANIVONG JAMES RATTS PHD, LMHC, LPC, NCC (CEO/OWNER)
(206) 409-0885
Entity
Organization
Contact information
Practice address
901 BOREN AVE STE 701, SEATTLE, WA 98104-3508
(206) 409-0885
(206) 274-0021
Mailing address
4310 89TH AVE SE, MERCER ISLAND, WA 98040-4132
(206) 409-0885
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/10/2017
Last updated
05/09/2025
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