# SEACHANGE HEALTH & WELLNESS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841334786
- **Authorized official:** KATHY J WILMERING MSW ARNP (PRESIDENT)
- **Authorized official phone:** (206) 632-9522

## Contact information

- **Practice address:** 1915 25TH AVE S UNIT A, SEATTLE, WA 98144-4708
- **Practice address phone:** (206) 632-9522
- **Practice address fax:** (877) 883-1876
- **Mailing address:** 4412 CALIFORNIA AVE SW UNIT 16325, SEATTLE, WA 98116-0816
- **Mailing address phone:** (206) 632-9522
- **Mailing address fax:** (206) 632-9522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | LH0006554 | WA | — |
| 104100000X | Social Worker | LH00006554 | WA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | WA30002439 | WA | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 06/02/2023