Provider Demographics
NPI:1114513389
Name:INNER HEALING COUNSELING LLC
Entity Type:Organization
Organization Name:INNER HEALING COUNSELING LLC
Other - Org Name:INNER HEALING COUNSELING LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:JORDAN
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LH60686283
Authorized Official - Phone:206-708-2695
Mailing Address - Street 1:600 N 36TH ST STE 321
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8698
Mailing Address - Country:US
Mailing Address - Phone:206-708-2695
Mailing Address - Fax:833-370-0319
Practice Address - Street 1:600 N 36TH ST STE 321
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8698
Practice Address - Country:US
Practice Address - Phone:206-708-2695
Practice Address - Fax:833-370-0319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health