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Contact Information

EASTSIDE SOCIAL SKILLS THERAPY LLC
5436 232ND AVE SE
ISSAQUAH, WA98029
 Phone: 206-380-3009
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for EASTSIDE SOCIAL SKILLS THERAPY LLC

NPI # 1659765816
LBN Legal business name EASTSIDE SOCIAL SKILLS THERAPY LLC
Authorized official PENNY LATHUM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2015
Last updated 03/26/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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