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MARSHAN M MOULTRY
NPI 1023481504
Counselor - Mental Health in Seattle, WA

Active since November 05, 2015
1100 VIRGINIA ST SUITE 210, SEATTLE, WA 98101(206) 470-3856 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marshan M Moultry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARSHAN M MOULTRY (NPI 1023481504) is an individual mental health provider in Seattle, Washington, licensed in Washington (MG60582705) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1023481504
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMARSHAN M MOULTRY
Location Address1100 VIRGINIA ST SUITE 210Seattle, WA 98101
Mailing Address1100 Virginia St Suite 210Seattle, WA 98101 · (206) 470-3856
Phone(206) 470-3856
Sole ProprietorNo
Enumeration DateNovember 5, 2015
✔ NPI 1023481504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · MG60582705
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CO60539426 (WA)
1100 VIRGINIA ST SUITE 210, Seattle, WA 98101
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marshan Moultry's NPI number?

The NPI number for Marshan Moultry is 1023481504. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Where is Marshan Moultry located?

Marshan Moultry practices at 1100 Virginia St Suite 210, Seattle, WA 98101. The listed phone number is (206) 470-3856.

What is Marshan Moultry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Marshan Moultry was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.