Therapy With Sherese Danielle, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THERAPY WITH SHERESE DANIELLE, LLC

Practice address

702 37TH St SE Apt B
Auburn, WA 98002-8062

Phone

(971) 770-0724

NPI assigned

Nov 27, 2023

Last updated

Nov 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sherese Ezelle, LMHC, LPCNPI 1962708610

Title

Owner/Mental Health Therapist

Phone

(971) 770-0724

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sherese Danielle Ezelle

  • Professional Counselor
  • Auburn, WA
  • NPI 1962708610
  NPD Authorized official

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1700652336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 37TH ST SE APT B",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980028062",
            "telephone_number": "971-770-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 37TH ST SE APT B",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980028062",
            "telephone_number": "971-770-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY WITH SHERESE DANIELLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-25",
        "status": "A",
        "authorized_official_last_name": "EZELLE",
        "authorized_official_first_name": "SHERESE",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "971-770-0724",
        "authorized_official_credential": "LMHC, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Auburn, WA
• Providers in Auburn, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.