Active NPI
Therese Soudant
- Marriage & Family Therapist
- Seattle, WA
National Provider Identifier
1154870194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MG60402146
- Legal business name
- THERESE SOUDANT
- Practice address
- 6869 Woodlawn Ave NE
Suite 110
Seattle, WA 98115-5469 - Phone
- (206) 618-0688
- NPI assigned
- Oct 3, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Therese Soudant, LMFTA
- Title
- Marriage and Family Therapist
- Phone
- (206) 618-0688
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MG60402146 | WA | Primary |
Addresses
Primary practice location
6869 Woodlawn Ave NE
Suite 110
Seattle, WA 98115-5469
Mailing address
4415 NE 60TH St
Seattle, WA 98115-7603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106H00000X | Other | WA | SOLE PROPRIETORSHIP |
National Provider Directory
National Provider DirectoryLocations
6869 Woodlawn Ave NE
Ste 110
Seattle, WA 98115
Phone (206) 618-0688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475452800000",
"number": "1154870194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 NE 60TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981157603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6869 WOODLAWN AVE NE",
"address_2": "SUITE 110",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981155469",
"telephone_number": "206-618-0688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERESE SOUDANT",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-03",
"last_updated": "2016-10-03",
"status": "A",
"authorized_official_last_name": "SOUDANT",
"authorized_official_first_name": "THERESE",
"authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
"authorized_official_telephone_number": "206-618-0688",
"authorized_official_credential": "LMFTA"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MG60402146",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOLE PROPRIETORSHIP",
"identifier": "106H00000X",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
- Therapy Management Services, PLLC
- Therapy Seattle, PLLC
- Therapy Services for Children
- Theresa a Burdick MD LLC
- Therese Law MD PS
- Gregory Wayne Theurer, PH.D.
- Tram-Anh Hoang Thi, ARNP
- Harish V Thiagaraj, B.PHARM., M.S.
- Lakshmi M Thiagaraj, BSN, MSN, ARNP
- Annaka Gustafson Thibodeaux, RN, MSN, APRN, CPON
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.