Provider Demographics
NPI:1760860142
Name:THERAPY SEATTLE, PLLC
Entity Type:Organization
Organization Name:THERAPY SEATTLE, PLLC
Other - Org Name:BONITA W QUIROZ-CANTU
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BONITA
Authorized Official - Middle Name:W
Authorized Official - Last Name:QUIROZ-CANTU
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:206-442-4390
Mailing Address - Street 1:411 UNIVERSITY ST
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2519
Mailing Address - Country:US
Mailing Address - Phone:206-442-4390
Mailing Address - Fax:
Practice Address - Street 1:411 UNIVERSITY ST
Practice Address - Street 2:SUITE 1200
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2519
Practice Address - Country:US
Practice Address - Phone:206-442-4390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30001311364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Single Specialty