1275909277 NPI number — SARAH MARGOLIS MA, LMHCA,MHP

Table of content: MRS. JULIENE FAYE MILLER M.A. CCC-A (NPI 1053628180)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275909277 NPI number — SARAH MARGOLIS MA, LMHCA,MHP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARGOLIS
Provider First Name:
SARAH
Provider Middle Name:
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:
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:
1275909277
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/26/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CANNON HOUSE
Provider Second Line Business Mailing Address:
113 23RD AVE 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:
206-709-1777
Provider Business Mailing Address Fax Number:
206-860-9846

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SEA MAR WHITE CENTER BEHAVIORAL HEALTH CLINIC
Provider Second Line Business Practice Location Address:
9650 15TH AVE SW
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-965-1055
Provider Business Practice Location Address Fax Number:
206-965-1032
Provider Enumeration Date:
08/13/2015

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

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