Provider Demographics
NPI:1427602937
Name:NORTH SEATTLE DBT PLLC
Entity Type:Organization
Organization Name:NORTH SEATTLE DBT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:KALLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:206-795-9177
Mailing Address - Street 1:1212 181ST PL SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-4958
Mailing Address - Country:US
Mailing Address - Phone:206-795-9177
Mailing Address - Fax:
Practice Address - Street 1:1107 NE 45TH ST STE 200
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4631
Practice Address - Country:US
Practice Address - Phone:206-496-4164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty