# AGING WISDOM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lisa Mayfield
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699970814
- **Authorized official:** LISA DEROSIER MAYFIELD LMHC (PRESIDENT)
- **Authorized official phone:** (206) 660-3276

## Contact information

- **Practice address:** 701 DEXTER AVE N STE 300, SEATTLE, WA 98109-4342
- **Practice address phone:** (206) 660-3276
- **Practice address fax:** (866) 464-8906
- **Mailing address:** PO BOX 31175, SEATTLE, WA 98103-1175
- **Mailing address phone:** (206) 660-3276
- **Mailing address fax:** (866) 464-8906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LH00007998 | WA | Yes |

## Other

- **Enumeration date:** 06/18/2007
- **Last updated:** 08/22/2020