Mathiasen, Bridgitte Camelia
Mathiasen, Bridgitte Camelia is an sole proprietor health care provider with primary practice located at 4445 Talbot Rd S , Renton WA 98055-6219. She recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Hospital Units / Psychiatric Unit, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mathiasen, Bridgitte Camelia can be contacted via phone (425) 656-4055.Contact Information
Primary practice address
4445 Talbot Rd S
Renton WA 98055-6219
Phone: (425) 656-4055
Fax: (425) 656-5425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | ||
| Hospital Units / Psychiatric Unit | 273R00000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LH60604127 | Washington |
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X | LH60604127 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH60604127 | Washington |
Profile Details
| NPI number | 1053609503 |
|---|---|
| LBN Legal business name | Mathiasen, Bridgitte Camelia |
| Credentials | LMHC, MSCC, BS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2011 |
| Last updated | Dec 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053609503 | NPPES |
| Washington | MEDICAID | 2074643 |
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