The Self-Inclusive Collective, Pllc
NPI #1104560028 in Seattle, Washington
Provider Information
- NPI Number
- 1104560028
- Entity Type
- Organization
- Organization Name
- The Self-Inclusive Collective, Pllc
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 26, 2022
- Last Updated
- Apr 3, 2023
Practice Location
- Address
- 4018 CALIFORNIA AVE SW APT 5
- City
- Seattle
- State
- Washington
- ZIP Code
- 98116-3782
- Phone
- (206) 569-4509
Authorized Official
- Name
- NICHOLAS MIMS, LMHC, LPC
- Title
- MEMBER, LICENSED COUNSELOR
- Phone
- (571) 268-1466
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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