SHELLIE GRAVITT (NPI# 1174927917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174927917 |
| Entity Type | Individual |
| Full Name | SHELLIE GRAVITT |
| Credential | LMFT |
| Practice Address |
22125 17th Ave Se Ste 101 Bothell WA 98021-7409 |
| Practice Telephone | 2068581177 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LF60727738 | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3417 Evanston Ave N Ste 203, Seattle, WA 981038644 | 2066597179 |
| Street Address |
22125 17TH AVE SE STE 101 |
| City | BOTHELL |
| State | WA |
| Zip Code | 98021-7409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888361 | Lindsay Hill | Counselor | 22125 17th Ave Se Ste 101, Bothell, WA 98021-7409 | 2020-10-15 |
| 1265943369 | Madiha Khalid | Counselor | 22125 17th Ave Se Ste 101, Bothell, WA 98021-7409 | 2017-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057780 | Seyed Ali Hosseini | Medical Genetics | 4299 233rd Pl Se, Bothell, WA 98021 | 2020-06-10 |
| 1710440359 | Hiu Nam Wong | Specialist/Technologist | 23419 17th Avenue Southeast, Bothell, WA 98021 | 2019-04-10 |
| 1578029823 | Andrea Lynn Whipple | Speech-Language Pathologist | 1909 124th Street Se, Suite 204, Bothell, WA 98021 | 2019-02-12 |
| 1730656604 | Pavittar Kaur Mansahia | Registered Nurse | Northshore School District, 3330 Monte Villa Parkway, Bothell, WA 98021 | 2018-10-30 |
| 1699261636 | Kellie Joan Wilcox Moore | Naturopath | 2210 242nd St Sw, Bothell, WA 98021 | 2018-07-02 |
| 1174970495 | Tracey Comella | Behavioral Analyst | 2020 Maltby Road Suite 7 Pmb 294, Bothell, WA 98021 | 2016-05-17 |
| 1912332545 | Katherine Marie Zintel | Counselor | 1909 214th St Se Ste 204, Bothell, WA 98021 | 2013-09-13 |
| 1720332471 | Sharon Lynne Deering | Speech-Language Pathologist | 3330 Monte Villa Parkway, Northshore School District, Bothell, WA 98021 | 2012-11-02 |
| 1225302722 | Lynette Patricia Hansen | Massage Therapist | 510 222nd Street Sw, Bothell, WA 98021 | 2012-03-01 |
| 1669749891 | Susie Fox | Dietitian, Registered | 4026 224th St Se#6, Bothell, WA 98021 | 2011-11-16 |
| Find all providers in zip 98021 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137986 | Jamie L Hauglid | Marriage & Family Therapist | 19201 120th Ave Ne, Bothell, WA 98011-9517 | 2019-04-12 |
| 1992113781 | Kourtney Marie Deboer | Marriage & Family Therapist | 1225 183rd St Se, Apt A102, Bothell, WA 98012-7495 | 2014-07-24 |
| 1063750776 | Andrew Paul Daniel Engstrom | Marriage & Family Therapist | 10116 Ne 183rd St, Bothell, WA 98011-3416 | 2013-01-30 |
| 1295088623 | Christina Barrows | Marriage & Family Therapist | 19125 N Creek Pkwy Ste 120, Bothell, WA 98011-8000 | 2012-10-23 |
| 1144501115 | Allegra Hollenbeck | Marriage & Family Therapist | 19803 108th Ave Ne, Bothell, WA 98011-2414 | 2011-09-06 |
| 1619262508 | Little Bird Child & Family Therapy | Marriage & Family Therapist | 23634 Bothell Everett Hwy, Suite C, Bothell, WA 98021-9322 | 2011-06-18 |
| 1053542621 | Shari Short | Marriage & Family Therapist | 10116 Main St Ste B3, Bothell, WA 98011-3449 | 2009-07-30 |
| 1467641621 | Michelle Ann Lechnyr-henningsen | Marriage & Family Therapist | 20526 29th Ave Se, Bothell, WA 98012-1435 | 2007-10-23 |
| 1831392497 | Debbie Anne Bayer | Marriage & Family Therapist | 9333 Ne 176th St, Bothell, WA 98011-3619 | 2007-06-08 |
| 1053412999 | Brian Lynn Carlton | Marriage & Family Therapist | 3003 179th St Se, Ste. 100, Bothell, WA 98012-6648 | 2006-09-25 |
| Find all providers in BOTHELL | ||||
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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.