Individual provider · Type 1 NPI

Sophia Evelyn Mimi Goldberg

Mental Health Counselor · Issaquah, WA

NPI number 1942729074 Active

Practice location

195 NE Gilman Blvd Ste 100
Issaquah, WA 98027-2940

Call (425) 295-7697 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed

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About NPI 1942729074

Sophia Evelyn Mimi Goldberg's National Provider Identifier is 1942729074, issued on Sep 9, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Issaquah, WA. The record was last updated on Oct 28, 2025.