Organization
SEACHANGE HEALTH & WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY J WILMERING MSW ARNP (PRESIDENT)
(206) 632-9522
Entity
Organization
Contact information
Practice address
1915 25TH AVE S UNIT A, SEATTLE, WA 98144-4708
(206) 632-9522
(877) 883-1876
Mailing address
4412 CALIFORNIA AVE SW UNIT 16325, SEATTLE, WA 98116-0816
(206) 632-9522
(206) 632-9522
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LH0006554
WA
104100000X
Social Worker
LH00006554
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
WA30002439
WA
Other
Enumeration date
02/16/2007
Last updated
06/02/2023
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