Professional Health Associates, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

17082100 Issued in WA

Legal business name

PROFESSIONAL HEALTH ASSOCIATES, INC.

Practice address

610 NW 44TH St
Seattle, WA 98107-4431

Phone

(206) 784-4646

Fax

(206) 784-5222

NPI assigned

Jul 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tamara Lanae Griffin

Title

Executive Director

Phone

(206) 784-4646

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053519611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 NW 44TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074431",
            "telephone_number": "206-784-4646",
            "fax_number": "206-784-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 NW 44TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074431",
            "telephone_number": "206-784-4646",
            "fax_number": "206-784-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LANAE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-784-4646"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "17082100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Procknow
• Lauren Procopio, N.D.
• Alexa Wash Proctor, ARNP
• Jeannette M Proctor, ARNP
• Rithika Proddutoor
• Professional Medical Corp
• Christi Proffitt, MA, LMHC, RDT
• Proformance Rehab Inc
• Progressive Family Services, LLC
• Ion Prohnitchi

• Addiction (Substance Use Disorder) Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.