Provider Demographics
NPI:1477003572
Name:PRACTICING ABUNDANCE LLC
Entity Type:Organization
Organization Name:PRACTICING ABUNDANCE LLC
Other - Org Name:ROSEMARY CRAWFORD COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC
Authorized Official - Phone:256-648-1730
Mailing Address - Street 1:12360 LAKE CITY WAY NE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-5447
Mailing Address - Country:US
Mailing Address - Phone:256-648-1730
Mailing Address - Fax:206-363-9639
Practice Address - Street 1:5355 TALLMAN AVE NW
Practice Address - Street 2:#210
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-3935
Practice Address - Country:US
Practice Address - Phone:256-648-1730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60478649251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health