Organization
MINDY MAXWELL CLINICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MINDY M MAXWELL LMHC (OWNER)
(206) 402-8388
Entity
Organization
Contact information
Practice address
652 SW 150TH ST APT A, BURIEN, WA 98166-4613
(415) 903-0452
Mailing address
652 SW 150TH ST STE A, BURIEN, WA 98166-4613
(415) 903-0452
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LH00009158
LMHC
WA
Enumeration date
03/22/2018
Last updated
07/26/2022
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