Provider Demographics
NPI:1679329338
Name:ANITA BARUAH THERAPY, PLLC
Entity Type:Organization
Organization Name:ANITA BARUAH THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARUAH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:425-647-3954
Mailing Address - Street 1:17518 151ST AVE SE APT 2-2
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-8746
Mailing Address - Country:US
Mailing Address - Phone:425-647-3954
Mailing Address - Fax:
Practice Address - Street 1:17518 151ST AVE SE APT 2-2
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-8746
Practice Address - Country:US
Practice Address - Phone:425-647-3954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty