Provider Demographics
NPI:1013311711
Name:SWEET, ELLIOT IRENE (LMFT)
Entity Type:Individual
Prefix:
First Name:ELLIOT
Middle Name:IRENE
Last Name:SWEET
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:IRENE
Other - Last Name:SWEET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFTA
Mailing Address - Street 1:303 16TH AVE E
Mailing Address - Street 2:APT 203
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112
Mailing Address - Country:US
Mailing Address - Phone:206-349-6178
Mailing Address - Fax:
Practice Address - Street 1:1812 E MADISON ST
Practice Address - Street 2:STE 30
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122
Practice Address - Country:US
Practice Address - Phone:206-745-2621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-09
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60583069106H00000X
WALF60817357106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist