Provider Demographics
NPI:1427594621
Name:JARED R. HELLINGS, PSYD, PLLC
Entity Type:Organization
Organization Name:JARED R. HELLINGS, PSYD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:HELLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:425-686-8413
Mailing Address - Street 1:144 RAILROAD AVE
Mailing Address - Street 2:202
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-7207
Mailing Address - Country:US
Mailing Address - Phone:425-686-8413
Mailing Address - Fax:888-976-5817
Practice Address - Street 1:144 RAILROAD AVE
Practice Address - Street 2:202
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-7207
Practice Address - Country:US
Practice Address - Phone:425-686-8413
Practice Address - Fax:888-976-5817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60068969261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)