Provider Demographics
NPI:1750551230
Name:LKI FAMILY SERVICES
Entity type:Organization
Organization Name:LKI FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ITO
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:360-403-7526
Mailing Address - Street 1:20902 67TH AVE NE # 365
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-8274
Mailing Address - Country:US
Mailing Address - Phone:360-403-7526
Mailing Address - Fax:360-403-3264
Practice Address - Street 1:118 E 5TH ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1272
Practice Address - Country:US
Practice Address - Phone:360-403-7526
Practice Address - Fax:360-403-3264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA248251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health