Provider Demographics
NPI:1982485074
Name:THERAPEUTIC ALLIANCES PLLC
Entity Type:Organization
Organization Name:THERAPEUTIC ALLIANCES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:MAY DEE
Authorized Official - Middle Name:
Authorized Official - Last Name:GEMILO
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:206-495-7544
Mailing Address - Street 1:1023 NE NORTHGATE WAY
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-6420
Mailing Address - Country:US
Mailing Address - Phone:206-495-7544
Mailing Address - Fax:425-404-3261
Practice Address - Street 1:1728 W MARINE DR STE 212
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-2083
Practice Address - Country:US
Practice Address - Phone:425-349-0951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-13
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty