Basic Information
Provider Information
NPI: 1275909277
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MARGOLIS
FirstName: SARAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MA, LMHCA,MHP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: CANNON HOUSE
Address2: 113 23RD AVE S.
City: SEATTLE
State: WA
PostalCode: 98144
CountryCode: US
TelephoneNumber: 2067091777
FaxNumber: 2068609846
Practice Location
Address1: SEA MAR WHITE CENTER BEHAVIORAL HEALTH CLINIC
Address2: 9650 15TH AVE SW
City: SEATTLE
State: WA
PostalCode: 98106
CountryCode: US
TelephoneNumber: 2069651055
FaxNumber: 2069651032
Other Information
ProviderEnumerationDate: 08/13/2015
LastUpdateDate: 07/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000X  Y Behavioral Health & Social Service ProvidersCounselor 

No ID Information.


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