Provider Demographics
NPI:1851094213
Name:CONNECTED COUPLES COUNSELING PLLC
Entity Type:Organization
Organization Name:CONNECTED COUPLES COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:ELDER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, MA
Authorized Official - Phone:317-902-6359
Mailing Address - Street 1:2855 SW 106TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98146-1200
Mailing Address - Country:US
Mailing Address - Phone:317-902-6359
Mailing Address - Fax:
Practice Address - Street 1:2855 SW 106TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98146-1200
Practice Address - Country:US
Practice Address - Phone:317-902-6359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty