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Organization
ENGAGING MINDFULNESS FORGING MEANING, PLLC
Active
Organization
ENGAGING MINDFULNESS FORGING MEANING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE BARTJA WACHTEL LICSW, MHP, CMHS (OWNER, SOLE MEMBER, AGENT)
(206) 250-9166
Entity
Organization
Contact information
Practice address
1500 FAIRVIEW AVE E STE 205, SEATTLE, WA 98102-3727
(206) 250-9166
Mailing address
4111 STONE WAY N STE A, SEATTLE, WA 98103-8052
(206) 250-9166
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
603534700
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891890927
SOLE PROVIDER NPI
WA
01
—
LW00008447
WASHINGTON STATE DEPARTMENT OF HEALTH SOCIAL WORKER LICENSE NUMBER
WA
Enumeration date
03/31/2018
Last updated
03/31/2018
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