Provider Demographics
NPI:1114322443
Name:LE, IRIS S (LMHC)
Entity Type:Individual
Prefix:MISS
First Name:IRIS
Middle Name:S
Last Name:LE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:WAI YEE
Other - Middle Name:
Other - Last Name:SIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:69 COUGAR RIDGE RD NW
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-5667
Mailing Address - Country:US
Mailing Address - Phone:310-926-5612
Mailing Address - Fax:
Practice Address - Street 1:16150 NE 85TH ST STE 121
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3542
Practice Address - Country:US
Practice Address - Phone:425-868-5777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-29
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60445947101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health