Provider Demographics
NPI:1992224448
Name:OVERCASH, ELISE
Entity Type:Individual
Prefix:
First Name:ELISE
Middle Name:
Last Name:OVERCASH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 STRANDER BLVD STE B-110
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-2943
Mailing Address - Country:US
Mailing Address - Phone:253-850-2500
Mailing Address - Fax:253-850-2530
Practice Address - Street 1:651 STRANDER BLVD STE B-110
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-2943
Practice Address - Country:US
Practice Address - Phone:253-850-2500
Practice Address - Fax:253-850-2530
Is Sole Proprietor?:No
Enumeration Date:2017-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor