Provider Demographics
NPI:1104174465
Name:NUA COUNSELING
Entity type:Organization
Organization Name:NUA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, CDP, MAC
Authorized Official - Phone:206-905-4667
Mailing Address - Street 1:2505 3RD AVE
Mailing Address - Street 2:SUITE 325
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-3418
Mailing Address - Country:US
Mailing Address - Phone:206-905-4667
Mailing Address - Fax:
Practice Address - Street 1:2505 3RD AVE
Practice Address - Street 2:SUITE 325
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-3418
Practice Address - Country:US
Practice Address - Phone:206-905-4667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010987101YM0800X
WACDP00004561101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1699927780OtherNPI