Provider Demographics
NPI:1770677411
Name:SEA MAR COMMUNITY HEALTH CLINICS - BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:SEA MAR COMMUNITY HEALTH CLINICS - BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:D'ALLEGRI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MHP
Authorized Official - Phone:206-764-4700
Mailing Address - Street 1:10001 17TH PL S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98168
Mailing Address - Country:US
Mailing Address - Phone:206-766-6976
Mailing Address - Fax:206-766-6979
Practice Address - Street 1:10001 17TH PL S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98168
Practice Address - Country:US
Practice Address - Phone:206-766-6976
Practice Address - Fax:206-766-6979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00021359101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty