Eberhardy, Phylliss Marie
Eberhardy, Phylliss Marie is an individual health care provider with primary practice located at 11126 Se 256Th Street Suite O 204, Kent WA 98030-5636. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Eberhardy, Phylliss Marie can be contacted via phone (253) 852-1586.Contact Information
Primary practice address
11126 Se 256Th Street Suite O 204
Kent WA 98030-5636
Phone: (253) 852-1586
Fax: (253) 852-7751
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CB00006138 | Washington |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LF00001439 | Washington |
Profile Details
NPI number | 1265515951 |
---|---|
LBN Legal business name | Eberhardy, Phylliss Marie |
Credentials | MS LMFT CCDCI |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 24th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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