Provider Demographics
NPI:1295276707
Name:NORTH SEATTLE THERAPY & COUNSELING, PLLC
Entity type:Organization
Organization Name:NORTH SEATTLE THERAPY & COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER, PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:206-384-8604
Mailing Address - Street 1:402 NE 72ND ST STE 6
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-5456
Mailing Address - Country:US
Mailing Address - Phone:206-384-8604
Mailing Address - Fax:888-978-5162
Practice Address - Street 1:402 NE 72ND ST STE 6
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-5456
Practice Address - Country:US
Practice Address - Phone:206-384-8604
Practice Address - Fax:888-978-5162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60691207101YM0800X
WALW603987691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty