Provider Demographics
NPI:1407023500
Name:PERKINS, NANCY CORBETT (LMHC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:CORBETT
Last Name:PERKINS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2017 BREMERTON AVE NE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-3849
Mailing Address - Country:US
Mailing Address - Phone:425-228-9739
Mailing Address - Fax:
Practice Address - Street 1:6000 SOUTHCENTER BLVD
Practice Address - Street 2:SUITE #16
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-7773
Practice Address - Country:US
Practice Address - Phone:425-638-9349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008154101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health