Provider Demographics
NPI:1164131827
Name:EMILI FLETCHER NOVEL COUNSELING
Entity Type:Organization
Organization Name:EMILI FLETCHER NOVEL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:206-446-4496
Mailing Address - Street 1:21227 61ST PL SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-5192
Mailing Address - Country:US
Mailing Address - Phone:206-446-4496
Mailing Address - Fax:
Practice Address - Street 1:13901 NE 175TH ST STE L
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-8548
Practice Address - Country:US
Practice Address - Phone:206-446-4496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty