| Anchor Light Therapy Collective | |
|
1817 Queen Anne Ave N Ste 204 Seattle WA 98109-2876 | |
| (206) 765-8265 | |
| Not Available |
| Full Name | Anchor Light Therapy Collective |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1817 Queen Anne Ave N Ste 204, Seattle, Washington |
| Authorized Official Name and Position | Laura Katie Richer (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 2067658265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchor Light Therapy Collective 1817 Queen Anne Ave N Ste 204 Seattle WA 98109-2876 Ph: (206) 765-8265 | Anchor Light Therapy Collective 1817 Queen Anne Ave N Ste 204 Seattle WA 98109-2876 Ph: (206) 765-8265 |
| NPI Number | 1063801942 |
|---|---|
| Provider Enumeration Date | 01/15/2015 |
| Last Update Date | 07/12/2021 |
| Certification Date | 07/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063801942 | NPI | - | NPPES |
| LH61027651 | Other | WA | WA LICENSED MENTAL HEALTH COUNSELOR LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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