1164906509 NPI number — JULIE SEDDON CABELL LMFTA, CDP

Table of content: JULIE SEDDON CABELL LMFTA, CDP (NPI 1164906509)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164906509 NPI number — JULIE SEDDON CABELL LMFTA, CDP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CABELL
Provider First Name:
JULIE
Provider Middle Name:
SEDDON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMFTA, CDP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164906509
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/21/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CENTRAL YOUTH AND FAMILY SERVICES
Provider Second Line Business Mailing Address:
1901 MLK JR WAY S.
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98144
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-322-7676
Provider Business Mailing Address Fax Number:
206-726-7585

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CENTRAL YOUTH AND FAMILY SERVICES
Provider Second Line Business Practice Location Address:
1901 MLK JR WAY S.
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-322-7676
Provider Business Practice Location Address Fax Number:
206-726-7585
Provider Enumeration Date:
09/21/2018

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: 101YA0400X , with the licence number:  CP60296546 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: MG60736871 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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