| Northwest Holistic Therapies, P.s. | |
|
19125 N Creek Pkwy Bothell WA 98011-8035 | |
| (425) 375-0432 | |
| (425) 740-0516 |
| Full Name | Northwest Holistic Therapies, P.s. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19125 N Creek Pkwy, Bothell, Washington |
| Authorized Official Name and Position | Maya Sophia Sprague (OWNER & CLINICAL DIRECTOR) |
| Authorized Official Contact | 4253750432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Holistic Therapies, P.s. 18024 49th Pl W Lynnwood WA 98037-5400 Ph: (425) 418-2949 | Northwest Holistic Therapies, P.s. 19125 N Creek Pkwy Bothell WA 98011-8035 Ph: (425) 375-0432 |
| NPI Number | 1306308556 |
|---|---|
| Provider Enumeration Date | 04/04/2019 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306308556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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