KATIE WILD M.A LMHCA R-DMT NPI 1609383371

NPI Information

NPI: 1609383371
Provider Name: KATIE WILD, M.A LMHCA R-DMT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
16150 NE 85TH ST STE 220
REDMOND, WA
ZIP 98052
Phone: (425) 558-0558
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Katie Wild, M.A LMHCA R-DMT is a mental health counselor in Redmond, WA. Katie Wild, M.A LMHCA R-DMT NPI is 1609383371. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16150 NE 85TH ST STE 220
REDMOND, WA
ZIP 98052-546
Phone: (425) 558-0558

The enumeration date for this NPI number is 1/3/2018 and was last updated on 1/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	60803555	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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