Provider Demographics
NPI:1538715198
Name:MEHL, SOPHIA A (LMHC)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:A
Last Name:MEHL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4027 21ST AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-1272
Mailing Address - Country:US
Mailing Address - Phone:206-485-0300
Mailing Address - Fax:
Practice Address - Street 1:4027 21ST AVE W
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98199-1272
Practice Address - Country:US
Practice Address - Phone:206-485-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-09
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60972163101YM0800X
WALH61141293101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health