1174866222 NPI number — WENDIE MELISSA O'DOWD MA LMHCA MHP

Table of content: WENDIE MELISSA O'DOWD MA LMHCA MHP (NPI 1174866222)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174866222 NPI number — WENDIE MELISSA O'DOWD MA LMHCA MHP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
O'DOWD
Provider First Name:
WENDIE
Provider Middle Name:
MELISSA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MA LMHCA MHP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MATHEWS
Provider Other First Name:
WENDIE
Provider Other Middle Name:
MELISSA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA LMHCA MHP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1174866222
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/20/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
226 SUMMIT AVE E STE 24
Provider Second Line Business Mailing Address:
SEATTLE THERAPYWORKS COUNSELING AND PSYCHOTHERAPY LLC
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98102-5619
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-306-7421
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
226 SUMMIT AVE E STE 24
Provider Second Line Business Practice Location Address:
SEATTLE THERAPYWORKS COUNSELING AND PSYCHOTHERAPY LLC
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98102-5619
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-306-7421
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2013

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: 101Y00000X , with the licence number:  MC60344527 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: MC60344527 , 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)