Provider Demographics
NPI:1669835054
Name:EPOS RELATIONAL COUNSELING
Entity Type:Organization
Organization Name:EPOS RELATIONAL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:LW
Authorized Official - Last Name:SIMONS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFTA
Authorized Official - Phone:206-949-9283
Mailing Address - Street 1:PO BOX 322
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98041-0322
Mailing Address - Country:US
Mailing Address - Phone:206-949-9283
Mailing Address - Fax:
Practice Address - Street 1:10625 E RIVERSIDE DR APT A
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3905
Practice Address - Country:US
Practice Address - Phone:206-949-9283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60559033251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health