Provider Demographics
NPI:1235385592
Name:LIFELONG: HEALTH FOR ALL
Entity type:Organization
Organization Name:LIFELONG: HEALTH FOR ALL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SESSLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-920-4391
Mailing Address - Street 1:210 S LUCILE ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-2432
Mailing Address - Country:US
Mailing Address - Phone:206-957-1600
Mailing Address - Fax:206-971-2008
Practice Address - Street 1:210 S LUCILE ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-2432
Practice Address - Country:US
Practice Address - Phone:206-328-8979
Practice Address - Fax:206-325-2689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management