What is Anthony Mathis's NPI number?

The NPI number assigned to this healthcare provider is 1548920267, enumerated as a individual on December 21, 2021.

Where is the provider located?

The provider is located at 6400 SOUTHCENTER BLVD TUKWILA, WA 98188 and the phone number is (206) 901-2000.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

ANTHONY LEVAN MATHIS JR. B.A., AAS, RBT - NPI 1548920267

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About Anthony Levan Mathis Jr. B.a., Aas, Rbt NPPES

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

ANTHONY LEVAN MATHIS JR. B.A., AAS, RBT (NPI 1548920267) is an individual counselor in Tukwila, Washington and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1548920267

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameANTHONY LEVAN MATHIS JR.Credential: B.A., AAS, RBT

Location Address6400 SOUTHCENTER BLVDTukwila, WA 98188-2547

Mailing Address6400 Southcenter BlvdTukwila, WA 98188-2547 · (206) 901-2010 · Fax (206) 901-2010

Phone(206) 901-2000

Fax(206) 901-2010

Sole ProprietorNo

Enumeration DateDecember 21, 2021

Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration

NPPES CertifiedDecember 17, 2024

✔ NPI 1548920267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

6400 SOUTHCENTER BLVD, Tukwila, WA 98188

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