Organization · Type 2 NPI

Premier Therapeutic Experience

Marriage & Family Therapist · Bellevue, WA

NPI number 1124503735 Active

Practice location

1400 112th Ave SE Ste 100
Bellevue, WA 98004-6901

Call (507) 254-7893 Map

Mailing address

3213 Harbor Ave SW Unit 103
Seattle, WA 98126-4600

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	None listed

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 ment…

35 other providers at this address

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NPI record

NPI: 1124503735
Entity type: Organization (Type 2)
Issued: Sep 28, 2018
Last updated: Sep 28, 2018
Status: Active

Other names

Premier Therapeutic Experienc E · doing business as
Premier Therapeutic Experience · doing business as

Authorized official

Heather Moir
Manager of Operations
(507) 254-7893

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124503735

Premier Therapeutic Experience's National Provider Identifier is 1124503735, issued on Sep 28, 2018. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Bellevue, WA. The record was last updated on Sep 28, 2018.