Organization
BEHAVIORAL HEALTH COLLABORATIVE
Active
Other names
Tuesday Burns, James Lolley
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES EDWARD LOLLEY PSYD (CO-OWNER)
(206) 432-9020
Entity
Organization
Contact information
Practice address
10740 MERIDIAN AVE N STE 107, SEATTLE, WA 98133
(206) 432-9020
(206) 432-9437
Mailing address
10740 MERIDIAN AVE N STE 107, SEATTLE, WA 98133-9010
(206) 432-9020
(206) 432-9437
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY60345764
WA
2084P0800X
Psychiatry Physician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427474618
INDIVIDUAL PROVIDER NPI
—
01
—
1639685241
GROUP NPI
—
01
—
1962621284
INDIVIDUAL PROVIDER NPI
—
Enumeration date
12/19/2017
Last updated
09/12/2018
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