TALITHA BULLOCK (NPI# 1053804369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053804369 |
| Entity Type | Individual |
| Full Name | TALITHA BULLOCK |
| Credential | MA,LMHC |
| Practice Address |
411 W Mercer St Seattle WA 98119-3918 |
| Mailing Address |
421 W Roy St Seattle WA 98119-4524 |
| Practice Telephone | 2064189170 |
| Mailing Telephone | 2064189170 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
60649170 | WA | Behavioral Health & Social Service Providers |
| Street Address |
411 W MERCER ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98119-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356383996 | Kerry Charles Fitzgibbons | Marriage & Family Therapist | 411 W Mercer St, Seattle, WA 98119-3918 | 2006-06-11 |
| 1215408869 | Carly Joy Claney | Psychologist | 411 W Mercer St, Seattle, WA 98119-3918 | 2018-12-07 |
| 1376055525 | Ashlee Knight | Counselor | 411 W Mercer St, Seattle, WA 98119-3918 | 2017-10-27 |
| 1114282803 | Eric Borgh | Counselor | 411 W Mercer St, Seattle, WA 98119 | 2012-07-09 |
| 1871734632 | Mh Choices LLC | Community/Behavioral Health | 411 W Mercer St, Seattle, WA 98119-3918 | 2009-03-09 |
| 1962674945 | Marian L Hilfrink | Social Worker | 411 W Mercer St, Seattle, WA 98119-3918 | 2008-03-30 |
| 1962607218 | Anne C. Dagney Fox | Massage Therapist | 411 W Mercer St, 411 W Mercer St, Seattle, WA 98119-3918 | 2007-06-18 |
| 1194948927 | Mary Susan Still | Counselor | 411 W Mercer St, Seattle, WA 98119-3918 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102911 | Philip H Benjamin | Counselor | Philip Benjamin Seattle Psychology, Pllc 200 W. Mercer, Suite 111, Seattle, WA 98119 | 2020-10-21 |
| 1578182689 | Kacie Krantz | Nutritionist | 1511 11th Ave W #3, Seattle, WA 98119 | 2020-04-09 |
| 1427539949 | Jessica Roberts Calhoun | Registered Nurse | Mcclure Middle School, 1915 1st Ave W, Seattle, WA 98119 | 2018-08-23 |
| 1144745704 | Jessalyn A Coleman | Specialist/Technologist | 3307 Third Ave W, Seattle, WA 98119 | 2017-08-04 |
| 1013431337 | Catherine Alexa Batiquin | Massage Therapist | 415 W Mercer St., 101, Seattle, WA 98119 | 2017-07-28 |
| 1962958546 | Sarah Olivia Keller | Counselor | 2617 14th Ave West, Apt. 2, Seattle, WA 98119 | 2016-09-01 |
| 1588040836 | Seattle Face and Skin, Pllc | Otolaryngology | 200 W. Galer St, Seattle, WA 98119 | 2015-08-09 |
| 1376971580 | Jennifer Frechette | Counselor | 11 W. Mcgraw St, Seattle, WA 98119 | 2013-10-25 |
| 1770911943 | Grace Hearn | Counselor | 200 1st Avenue West, Suite 400, Seattle, WA 98119 | 2013-10-24 |
| 1881032423 | Richard Atwood Willson | Internal Medicine | 815 West Galer Street, Seattle, WA 98119 | 2013-06-05 |
| Find all providers in zip 98119 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407745 | Julie Mcgowan | Counselor | 9222 12th Ave Sw, Seattle, WA 98106-2908 | 2020-11-06 |
| 1043811292 | Satya Wellness Collective, LLC | Counselor | 5608 17th Ave Nw # 1063, Seattle, WA 98107-5232 | 2020-11-04 |
| 1366043960 | Nidhi Amy Rastogi | Counselor | 7004 Murray Ave Sw Apt 103, Seattle, WA 98136-1763 | 2020-11-02 |
| 1124628797 | Krista P Marceron | Counselor | 1421 34th Ave Ste 207, Seattle, WA 98122-3634 | 2020-10-31 |
| 1326648064 | Taylor Ferry | Counselor | 3954 1st Ave Ne Apt 3, Seattle, WA 98105-6863 | 2020-10-30 |
| 1710587969 | Brenton Brooks Page Jr. | Counselor | 819 N 49th St Ste 303, Seattle, WA 98103-6577 | 2020-10-27 |
| 1215536719 | Jessica Aarsvold | Counselor | 1 Ward St Unit 5, Seattle, WA 98109-3627 | 2020-10-26 |
| 1972102911 | Philip H Benjamin | Counselor | Philip Benjamin Seattle Psychology, Pllc 200 W. Mercer, Suite 111, Seattle, WA 98119 | 2020-10-21 |
| 1588263834 | Laura Gardener | Counselor | 216 25th Ave, Seattle, WA 98122-6104 | 2020-10-19 |
| 1265031512 | Mykel Ziolo | Counselor | 11700 Evanston Ave N, Seattle, WA 98133-8225 | 2020-10-19 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.