Provider Demographics
NPI:1649090259
Name:SEATTLE FAMILY THERAPY
Entity type:Organization
Organization Name:SEATTLE FAMILY THERAPY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:ELAINA
Authorized Official - Last Name:SCALONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-385-4700
Mailing Address - Street 1:1818 WESTLAKE AVE N STE 224
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2707
Mailing Address - Country:US
Mailing Address - Phone:206-385-4700
Mailing Address - Fax:
Practice Address - Street 1:1818 WESTLAKE AVE N STE 224
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2707
Practice Address - Country:US
Practice Address - Phone:206-385-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty