Basic Information
Provider Information
NPI: 1043759194
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZHU
FirstName: YU-MING
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MA, LMHC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3639 MARTIN LUTHER KING JR WAY S
Address2:  
City: SEATTLE
State: WA
PostalCode: 981446847
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 3639 MARTIN LUTHER KING JR WAY S
Address2:  
City: SEATTLE
State: WA
PostalCode: 981446847
CountryCode: US
TelephoneNumber: 2066957600
FaxNumber: 2066957606
Other Information
ProviderEnumerationDate: 02/21/2017
LastUpdateDate: 10/29/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XLH00003958WAY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


Home