Provider Demographics
NPI:1710799390
Name:GOOD INTENTIONS CONSULTING SERVICES
Entity type:Organization
Organization Name:GOOD INTENTIONS CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-409-8112
Mailing Address - Street 1:7500 BANNER WAY NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-4176
Mailing Address - Country:US
Mailing Address - Phone:206-409-8112
Mailing Address - Fax:
Practice Address - Street 1:8400 5TH AVE NE APT 8
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-4163
Practice Address - Country:US
Practice Address - Phone:206-409-8112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health