Provider Demographics
NPI:1396033361
Name:SINKEVITCH, ELAINE M (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:M
Last Name:SINKEVITCH
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:LAINEY
Other - Middle Name:
Other - Last Name:SINKEVITCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:5705 PHINNEY AVE N
Mailing Address - Street 2:104
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-5860
Mailing Address - Country:US
Mailing Address - Phone:206-788-5246
Mailing Address - Fax:
Practice Address - Street 1:6817 GREENWOOD AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5227
Practice Address - Country:US
Practice Address - Phone:206-788-5246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60210030101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health