Provider Demographics
NPI:1942680624
Name:THEORIES OF MIND PLLC
Entity Type:Organization
Organization Name:THEORIES OF MIND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:DANLYS
Authorized Official - Last Name:CASPE-DETZER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:425-417-2263
Mailing Address - Street 1:345 118TH AVE SE STE 100
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3587
Mailing Address - Country:US
Mailing Address - Phone:206-369-6234
Mailing Address - Fax:
Practice Address - Street 1:345 118TH AVE SE STE 100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3587
Practice Address - Country:US
Practice Address - Phone:206-369-6234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60420811101YM0800X
WALH60489768101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty