Provider Demographics
NPI:1205238599
Name:SIMPSON, MICHELLI (LMHCA)
Entity type:Individual
Prefix:MRS
First Name:MICHELLI
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:MICHELLI
Other - Middle Name:
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:10001 17TH PL S
Mailing Address - Street 2:SEA MAR COMMUNITY MENTAL HEALTH CENTER
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98168-1615
Mailing Address - Country:US
Mailing Address - Phone:206-766-6976
Mailing Address - Fax:206-766-6993
Practice Address - Street 1:10001 17TH PL S
Practice Address - Street 2:SEA MAR COMMUNITY MENTAL HEALTH CENTER
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98168-1615
Practice Address - Country:US
Practice Address - Phone:206-766-6976
Practice Address - Fax:206-766-6993
Is Sole Proprietor?:No
Enumeration Date:2014-09-18
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC 60599008101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health