Individual provider · Type 1 NPI

Genise Rachelle Bagby, MA, LMHC, SUDP, DVIT

Mental Health Counselor · Renton, WA

NPI number 1710330824 Active

Practice location

15 S Grady Way Ste 610
Renton, WA 98057-3218

Fax (206) 274-6252

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH60844525 (WA)
Addiction (Substance Use Disorder) Counselor 101YA0400XCO60705270 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1710330824

Genise Rachelle Bagby, MA, LMHC, SUDP, DVIT's National Provider Identifier is 1710330824, issued on Jul 13, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Renton, WA. The record was last updated on Oct 30, 2025.