JOSH AND LAUREL WEED LLC


Address: 25430 157th Ave Se, Covington, WA 98042-4173
Phone: 2535697572

JOSH AND LAUREL WEED LLC (NPI# 1477015097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477015097
Entity Type Organization
Organization Name JOSH AND LAUREL WEED LLC
Practice Address 25430 157th Ave Se
Covington
WA 98042-4173
Practice Telephone 2535697572
Mailing Telephone 2535697572
Enumeration Date 2019-04-02
Last Update Date 2019-04-02
Authorized Official Name LAUREL ANN WEED (CO-OWNER)
Authorized Official Telephone 2535697572
Authorized Official Credential LMFTA
Is Organization Subpart Y
Parent Organization Name JOSH AND LAUREL WEED LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Sound Mental Health and Wellness Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
33400 9th Ave S, Federal Way, WA 980032607 2535697572
615 W Titus St, Kent, WA 980325749 2538862488

Office Location

Street Address 25430 157TH AVE SE
City COVINGTON
State WA
Zip Code 98042-4173

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NPI Name Taxonomy Address Enumeration
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1417416678 Anatoliy Voznyarskiy Behavior Technician 27023 164th. Ave Se, Covington, WA 98042 2019-03-18
1639693393 Michele Shilley Registered Nurse 24519 185th Pl Se, Covington, WA 98042 2017-08-02
1104281526 Kimberly Destefano Licensed Practical Nurse 27446 151st Pl Se, Kent, WA 98042 2015-12-30
1508243403 Dora Arralde Registered Nurse 14620 S.e. 244th St, Kent, WA 98042 2015-04-29
1609299486 Mei Ing Yau Registered Nurse 14311 Se 243rd St, Kent, WA 98042 2014-01-29
1043594658 Karen Ann Little Specialist 28027 140th Lane Se, Kent, WA 98042 2011-09-30
1326327073 Julie A Taylor Occupational Therapy Assistant 15630 Se 262nd Pl, Covington, WA 98042 2011-08-12
1720380397 Blanka Karasek Pharmacist 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 2010-12-02
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1154524155 Northern Kentucky Mhmr Regional Board Clinic/Center 503 Farrell Dr, Covington, KY 41011-3775 2007-06-07
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Competitor

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City COVINGTON
Zip Code 98042

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Dataset Information

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.

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