Provider Demographics
NPI:1871015412
Name:HUMMINGBIRD COUNSELING LLC
Entity Type:Organization
Organization Name:HUMMINGBIRD COUNSELING LLC
Other - Org Name:MEYLEEN VELASQUEZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEYLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VELASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, RPT-S, PMH-C
Authorized Official - Phone:786-553-3705
Mailing Address - Street 1:11225 19TH AVE SE APT B203
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-5183
Mailing Address - Country:US
Mailing Address - Phone:786-471-2739
Mailing Address - Fax:
Practice Address - Street 1:11225 19TH AVE SE APT B203
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-5183
Practice Address - Country:US
Practice Address - Phone:786-471-2739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-14
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW109571041C0700X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1073857157OtherNPI