Provider Demographics
NPI:1962389163
Name:BINNS, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:BINNS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12220 113TH AVE NE # KIRKLAND
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-6915
Mailing Address - Country:US
Mailing Address - Phone:425-403-5765
Mailing Address - Fax:
Practice Address - Street 1:12220 113TH AVE NE # KIRKLAND
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-6915
Practice Address - Country:US
Practice Address - Phone:425-403-5765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health