# DAYSPRING BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dayspring Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366878332
- **Authorized official:** DR. AMY FORD LMHC (OWNER/PSYCHOTHERAPIST)
- **Authorized official phone:** (425) 295-7697

## Contact information

- **Practice address:** 1495 NW GILMAN BLVD STE 11, ISSAQUAH, WA 98027-5328
- **Practice address phone:** (425) 296-7697
- **Practice address fax:** (818) 279-2296
- **Mailing address:** 1495 NW GILMAN BLVD STE 11, ISSAQUAH, WA 98027-5328
- **Mailing address phone:** (425) 296-7697
- **Mailing address fax:** (818) 279-2296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LH60200909 | WA | — |
| 101YM0800X | Mental Health Counselor | LH00010763 | WA | — |
| 101YM0800X | Mental Health Counselor | LH60031142 | WA | Yes |
| 101YM0800X | Mental Health Counselor | MC60312903 | WA | — |
| 103TC0700X | Clinical Psychologist | 1108 | WA | — |

## Other

- **Enumeration date:** 09/22/2013
- **Last updated:** 09/22/2013
