Provider Demographics
NPI:1306715701
Name:SPIRITUAL EMERGENCE COUNSELING
Entity type:Organization
Organization Name:SPIRITUAL EMERGENCE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MALOY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, ACS
Authorized Official - Phone:206-369-1211
Mailing Address - Street 1:125 N 105TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8701
Mailing Address - Country:US
Mailing Address - Phone:206-369-1211
Mailing Address - Fax:
Practice Address - Street 1:727 N 182ND ST STE 202
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-4402
Practice Address - Country:US
Practice Address - Phone:206-369-1211
Practice Address - Fax:206-542-5235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)