Provider Demographics
NPI:1801965645
Name:BIONDI, WENDY ANN (LMHC)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:ANN
Last Name:BIONDI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:A
Other - Last Name:BAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:405 PARSONS AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-1736
Mailing Address - Country:US
Mailing Address - Phone:509-590-6339
Mailing Address - Fax:
Practice Address - Street 1:405 PARSONS AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-1736
Practice Address - Country:US
Practice Address - Phone:509-590-6339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00009595101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1801965645Medicaid
WA41-2265692OtherEIN NUMBER