Provider Demographics
NPI:1629135454
Name:MILDES, ERIK RINGSRUD (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:RINGSRUD
Last Name:MILDES
Suffix:
Gender:M
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6216 185TH PL SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-7231
Mailing Address - Country:US
Mailing Address - Phone:206-999-4534
Mailing Address - Fax:206-238-8644
Practice Address - Street 1:444 NE RAVENNA BLVD
Practice Address - Street 2:SUITE 308
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-8436
Practice Address - Country:US
Practice Address - Phone:206-999-4534
Practice Address - Fax:206-238-8644
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00011148101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health