1831257963 NPI number — MS. AZURE FORTE LMHC, TEP

Table of content: MS. AZURE FORTE LMHC, TEP (NPI 1831257963)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831257963 NPI number — MS. AZURE FORTE LMHC, TEP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FORTE
Provider First Name:
AZURE
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMHC, TEP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FORTE
Provider Other First Name:
LINDA
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1831257963
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/13/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14909 NE 202ND ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOODINVILLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98072-6488
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-768-9120
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18500 156TH AVE NE STE 203
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOODINVILLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98072-4459
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-768-9120
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/04/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CAQH . This is a "COUNSEL FOR AFFORDABLE QU" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".