Organization
BEHAVIORAL HEALTH COLLABORATIVE
Active
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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