Provider Demographics
NPI:1497373278
Name:KIRKMAN COUNSELING, LLC
Entity Type:Organization
Organization Name:KIRKMAN COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, EDS, LMHC
Authorized Official - Phone:206-773-5295
Mailing Address - Street 1:1823 MINOR AVE APT 1506
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-0924
Mailing Address - Country:US
Mailing Address - Phone:206-773-5295
Mailing Address - Fax:
Practice Address - Street 1:602 VALLEY ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4228
Practice Address - Country:US
Practice Address - Phone:206-773-5295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)