1619019841 NPI number — MISS LORELIE CACERES LIGASAN M.S., LMHC

Table of content: MISS LORELIE CACERES LIGASAN M.S., LMHC (NPI 1619019841)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619019841 NPI number — MISS LORELIE CACERES LIGASAN M.S., LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LIGASAN
Provider First Name:
LORELIE
Provider Middle Name:
CACERES
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
M.S., LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LIGASAN
Provider Other First Name:
BENG
Provider Other Middle Name:
C.
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.S., LMHC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1619019841
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/22/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1600 E OLIVE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98122-2735
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-302-2200
Provider Business Mailing Address Fax Number:
206-302-2210

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6334 LITTLEROCK RD SW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUMWATER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98512-7332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-704-7590
Provider Business Practice Location Address Fax Number:
360-704-7591
Provider Enumeration Date:
02/13/2007

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 , with the licence number:  LH00011359 , 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)





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