Provider Demographics
NPI:1891872057
Name:GARTHWAITE, MELISSA M (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:M
Last Name:GARTHWAITE
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 1ST AVE S
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2537
Mailing Address - Country:US
Mailing Address - Phone:206-280-3682
Mailing Address - Fax:
Practice Address - Street 1:311 1ST AVE S
Practice Address - Street 2:SUITE 301
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2537
Practice Address - Country:US
Practice Address - Phone:206-280-3682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008591101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health