Provider Demographics
NPI:1639837511
Name:CADY, ELIZA (LMHCA)
Entity Type:Individual
Prefix:
First Name:ELIZA
Middle Name:
Last Name:CADY
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3045 20TH AVE W APT 303
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-2976
Mailing Address - Country:US
Mailing Address - Phone:206-605-1619
Mailing Address - Fax:
Practice Address - Street 1:3045 20TH AVE W APT 303
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98199-2976
Practice Address - Country:US
Practice Address - Phone:206-605-1619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-07
Last Update Date:2022-08-11
Deactivation Date:2022-02-15
Deactivation Code:
Reactivation Date:2022-08-11
Provider Licenses
StateLicense IDTaxonomies
WAMHCA.MC.61163281101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health