Provider Demographics
NPI:1326535832
Name:OPTIMAL BEHAVIORAL HEALTH PLLC
Entity Type:Organization
Organization Name:OPTIMAL BEHAVIORAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, OWNER, COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:BRITT
Authorized Official - Middle Name:INGRID
Authorized Official - Last Name:ELSING
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC, MHP
Authorized Official - Phone:360-389-2042
Mailing Address - Street 1:19512 105TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-6665
Mailing Address - Country:US
Mailing Address - Phone:360-389-2042
Mailing Address - Fax:
Practice Address - Street 1:19512 105TH AVE NE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-6665
Practice Address - Country:US
Practice Address - Phone:360-389-2042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-19
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60658359101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty