Organization
MIRO COLCHA THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRO COLCHA MA, LMHC (OWNER)
(407) 385-9373
Entity
Organization
Contact information
Practice address
2718 E OLIVE ST, SEATTLE, WA 98122-3146
(407) 385-9373
Mailing address
2718 E OLIVE ST, SEATTLE, WA 98122-3146
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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