BANCHE A MENGISTU CNA, AAC
NPI 1558706697
Counselor - Mental Health in Auburn, WA
Active since May 02, 2013
505 29TH ST SE, CHARTLEY HOUSE, AUBURN, WA 98002(253) 876-7650(253) 876-7651 Get Directions Write a Review
About Banche A Mengistu Cna, Aac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANCHE A MENGISTU CNA, AAC (NPI 1558706697) is an individual mental health provider in Auburn, Washington, licensed in Washington (CG60318328) and active in the NPI registry since May 2013.
NPPES Registry Identity
NPI1558706697
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBANCHE A MENGISTUCredential: CNA, AAC
Location Address505 29TH ST SE, CHARTLEY HOUSEAuburn, WA 98002-7541
Mailing Address1600 E Olive St, Sound Mental HealthSeattle, WA 98122-2735 · (206) 302-2200 · Fax (206) 302-2210
Phone(253) 876-7650
Fax(253) 876-7651
Sole ProprietorNo
Enumeration DateMay 2, 2013
✔ NPI 1558706697 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 · CG60318328
Also ListedCounselorTaxonomy 101Y00000X · License CG60318328 (WA)
505 29TH ST SE, Auburn, WA 98002
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558706697, enumerated as an "individual" on May 02, 2013.
The provider is located at 505 29TH ST SE CHARTLEY HOUSE AUBURN, WA 98002 and the phone number is (253) 876-7650.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.