Provider Demographics
NPI:1265793764
Name:RELLA, ANTHONY (MA, LMHC)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:RELLA
Suffix:
Gender:M
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1833 N 105TH ST STE 101-6
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8973
Mailing Address - Country:US
Mailing Address - Phone:206-395-4925
Mailing Address - Fax:206-395-4925
Practice Address - Street 1:1833 N 105TH ST STE 101-6
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8973
Practice Address - Country:US
Practice Address - Phone:206-395-4925
Practice Address - Fax:206-395-4925
Is Sole Proprietor?:No
Enumeration Date:2012-05-31
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60408047101Y00000X
101YM0800X
WALH60608531101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor