# CARMEN LASBY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carmen Lasby PsyD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548728744
- **Authorized official:** DR. CARMEN DANIELLE LASBY PSYD (LICENSED PSYCHOLOGIST)
- **Authorized official phone:** (253) 642-6358

## Contact information

- **Practice address:** 2105 112TH AVE NE STE 200, BELLEVUE, WA 98004-2945
- **Practice address phone:** (253) 642-6358
- **Mailing address:** PO BOX 60223, RENTON, WA 98058-3223
- **Mailing address phone:** (253) 642-6358
- **Mailing address fax:** (425) 207-4932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/06/2019
- **Last updated:** 10/26/2022