Provider Demographics
NPI:1003372053
Name:KIDS AND FAMILY COUNSELING, PLLC
Entity Type:Organization
Organization Name:KIDS AND FAMILY COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BCBA/LMHC
Authorized Official - Prefix:MS
Authorized Official - First Name:VIDYA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SUBRAMANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-505-1320
Mailing Address - Street 1:12507 NE BEL RED RD STE 103
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2500
Mailing Address - Country:US
Mailing Address - Phone:425-505-1320
Mailing Address - Fax:
Practice Address - Street 1:12507 NE BEL RED RD STE 103
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2500
Practice Address - Country:US
Practice Address - Phone:425-505-1320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty