Basic Information
Provider Information
NPI: 1689907271
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BLISS
FirstName: PARIS
MiddleName: JANINE
NamePrefix: MRS.
NameSuffix:  
Credential: BA, CG
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: BLISS
OtherFirstName: PARIS
OtherMiddleName: JANINE
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 1600 E OLIVE ST
Address2: SOUND MENTAL HEALTH
City: SEATTLE
State: WA
PostalCode: 981222735
CountryCode: US
TelephoneNumber: 2063022200
FaxNumber: 2063022210
Practice Location
Address1: 1600 E OLIVE ST
Address2: SOUND MENTAL HEALTH
City: SEATTLE
State: WA
PostalCode: 981222735
CountryCode: US
TelephoneNumber: 2063022200
FaxNumber: 2063022210
Other Information
ProviderEnumerationDate: 09/14/2009
LastUpdateDate: 09/14/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000XCG60109578WAY Behavioral Health & Social Service ProvidersCounselor 

No ID Information.


Home