Provider Demographics
NPI:1235650771
Name:METTAREL ASSOCIATES, PS
Entity Type:Organization
Organization Name:METTAREL ASSOCIATES, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HAILE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-472-9297
Mailing Address - Street 1:3414 1/2 FREMONT AVE N STE D
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8812
Mailing Address - Country:US
Mailing Address - Phone:206-472-9297
Mailing Address - Fax:
Practice Address - Street 1:3414 1/2 FREMONT AVE N STE D
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8812
Practice Address - Country:US
Practice Address - Phone:206-472-9297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty