Provider Demographics
NPI:1811732118
Name:LECOMPTE, MADISON LATHBURY (LMHCA)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:LATHBURY
Last Name:LECOMPTE
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3645 22ND AVE W UNIT F
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-2329
Mailing Address - Country:US
Mailing Address - Phone:206-261-8375
Mailing Address - Fax:
Practice Address - Street 1:3645 22ND AVE W UNIT F
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98199-2329
Practice Address - Country:US
Practice Address - Phone:206-261-8375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health