Organization
THERAPEUTIC HEALTH SERVICES
Active
Other names
Youth and Family Services Seattle
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN POTTER (BILLING MANAGER)
(206) 323-0930
Entity
Organization
Contact information
Practice address
1901 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-4801
(206) 322-7676
(206) 726-7585
Mailing address
5802 RAINIER AVE S, SEATTLE, WA 98118-2706
(206) 723-1980
(206) 721-3930
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0169-00
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1991397
—
WA
Enumeration date
11/14/2006
Last updated
05/07/2024
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