Provider Demographics
NPI:1871992800
Name:ALLIED FAMILY THERAPY
Entity type:Organization
Organization Name:ALLIED FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURAMAERY (GOLD)
Authorized Official - Middle Name:
Authorized Official - Last Name:POST
Authorized Official - Suffix:
Authorized Official - Credentials:CC, BS
Authorized Official - Phone:425-429-2230
Mailing Address - Street 1:4509 TALBOT RD S
Mailing Address - Street 2:SUITE 105
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-6294
Mailing Address - Country:US
Mailing Address - Phone:425-429-2230
Mailing Address - Fax:
Practice Address - Street 1:4509 TALBOT RD S
Practice Address - Street 2:SUITE 105
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-6294
Practice Address - Country:US
Practice Address - Phone:425-429-2230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STONESHIRE HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-15
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACL60506066101Y00000X
WA101YM0800X, 101YP1600X, 101YP2500X, 251S00000X
251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty