Provider Demographics
NPI:1245038983
Name:MACKAY, SARAH TATUM
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:TATUM
Last Name:MACKAY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:TATUM
Other - Middle Name:
Other - Last Name:MACKAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5608 17TH AVE NW STE 1668
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-5232
Mailing Address - Country:US
Mailing Address - Phone:206-672-3202
Mailing Address - Fax:
Practice Address - Street 1:5608 17TH AVE NW STE 1668
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-5232
Practice Address - Country:US
Practice Address - Phone:206-672-3202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health