Eastside Social Skills Therapy Llc

LBN: Eastside Social Skills Therapy Llc
Eastside Social Skills Therapy Llc is an health care organization with primary practice located at 5436 232Nd Ave Se , Issaquah WA 98029. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Eastside Social Skills Therapy Llc can be contacted via phone (206) 380-3009, or through Lathum, Penny J via phone (206) 380-3009.

Contact Information

Primary practice address
5436 232Nd Ave Se Issaquah WA 98029
Phone: (206) 380-3009
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lathum, Penny J M.ED, BCBA
Phone: (206) 380-3009

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1659765816
LBN Legal business name Eastside Social Skills Therapy Llc
DBA Doing business as
Authorized official Lathum, Penny J M.ED, BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2015
Last updated Mar 26th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers