Basic Information
Provider Information
NPI: 1801210653
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HIMES
FirstName: SARAH
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: MA, LMHCA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
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: 2438 AUBURN WAY N
Address2: SFS SOUTH
City: AUBURN
State: WA
PostalCode: 98002
CountryCode: US
TelephoneNumber: 2538767600
FaxNumber: 2538767610
Other Information
ProviderEnumerationDate: 02/14/2014
LastUpdateDate: 02/14/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000X  N Behavioral Health & Social Service ProvidersCounselor 
101YM0800X  Y Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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