Provider Demographics
NPI:1518280965
Name:SATTERWHITE, HOLSEY (LICSW, LMHC)
Entity type:Individual
Prefix:
First Name:HOLSEY
Middle Name:
Last Name:SATTERWHITE
Suffix:
Gender:M
Credentials:LICSW, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31118 151ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98042-5504
Mailing Address - Country:US
Mailing Address - Phone:253-247-1317
Mailing Address - Fax:
Practice Address - Street 1:15 S. OREGON AVE SUITE 101
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-7431
Practice Address - Country:US
Practice Address - Phone:253-247-1317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60354442101YP2500X
WALW604208481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional