Provider Demographics
NPI:1811214893
Name:CROSSPATH COUNSELING & CONSULTATION, LLC
Entity Type:Organization
Organization Name:CROSSPATH COUNSELING & CONSULTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFFERTY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:425-369-1111
Mailing Address - Street 1:550 222ND PL SE
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-7111
Mailing Address - Country:US
Mailing Address - Phone:425-369-1111
Mailing Address - Fax:425-369-1112
Practice Address - Street 1:550 222ND PL SE
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98074-7111
Practice Address - Country:US
Practice Address - Phone:425-369-1111
Practice Address - Fax:425-369-1112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00005878101YM0800X
WALH60094600101YM0800X
WAMD00013428103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty