Smith, Ebony A
Smith, Ebony A is an individual health care provider with primary practice located at 1101 Andover Park W Ste 107 , Tukwila WA 98188-3911. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Smith, Ebony A can be contacted via phone (253) 890-7384.Contact Information
Primary practice address
1101 Andover Park W Ste 107
Tukwila WA 98188-3911
Phone: (253) 890-7384
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | CAAC.CQ.70038578 | Washington |
Profile Details
| NPI number | 1356050058 |
|---|---|
| LBN Legal business name | Smith, Ebony A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2022 |
| Last updated | Aug 18th, 2026 - about 2 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356050058 | NPPES |
| Washington | MEDICAID | 2238126 |
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