Provider Demographics
NPI:1760823025
Name:FULL LIFE CARE
Entity Type:Organization
Organization Name:FULL LIFE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MENTAL HEALTH
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:206-224-3745
Mailing Address - Street 1:2600 S WALKER ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-4710
Mailing Address - Country:US
Mailing Address - Phone:206-224-3745
Mailing Address - Fax:206-436-8388
Practice Address - Street 1:2600 S WALKER ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-4710
Practice Address - Country:US
Practice Address - Phone:206-224-3745
Practice Address - Fax:206-436-8388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health