Provider Demographics
NPI:1801575964
Name:FOSTER, SOPHIA ZOE (LMFTA)
Entity type:Individual
Prefix:MISS
First Name:SOPHIA
Middle Name:ZOE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:MISS
Other - First Name:SOPHIA
Other - Middle Name:ZOE
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFTA
Mailing Address - Street 1:1022 2ND AVE S
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-4101
Mailing Address - Country:US
Mailing Address - Phone:206-300-2974
Mailing Address - Fax:
Practice Address - Street 1:3876 BRIDGE WAY N STE 202
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-7951
Practice Address - Country:US
Practice Address - Phone:206-681-7586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist