Provider Demographics
NPI:1467286997
Name:GENEVIEVE WARD COUNSELING PLLC
Entity type:Organization
Organization Name:GENEVIEVE WARD COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:423-284-0698
Mailing Address - Street 1:23425 SE BLACK NUGGET RD APT F101
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-6963
Mailing Address - Country:US
Mailing Address - Phone:423-284-0698
Mailing Address - Fax:
Practice Address - Street 1:1123 MAPLE AVE SW STE 240
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3100
Practice Address - Country:US
Practice Address - Phone:425-610-6162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)