Organization
EASTSIDE WOMEN'S COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA MUNGER LMHC (OWNER)
(425) 350-0245
Entity
Organization
Contact information
Practice address
1621 114TH AVE SE STE 224, BELLEVUE, WA 98004-6905
(206) 507-0289
Mailing address
2425 84TH AVE SE, MERCER ISLAND, WA 98040-2223
(425) 350-0245
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518388230
NPPES
—
01
—
MC60312903
WA DEPT OF HEALTH
WA
Enumeration date
12/06/2018
Last updated
12/06/2018
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