MR. KHALFANI MWAMBA (NPI# 1295949766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295949766 |
| Entity Type | Individual |
| Full Name | MR. KHALFANI MWAMBA |
| Credential | CDP |
| Practice Address |
400 Yesler Way #110 Seattle WA 98104-2683 |
| Mailing Address |
1600 E. Olive St. Sound Mental Health Seattle WA 98118-4425 |
| Practice Telephone | 2063022200 |
| Practice Fax Number | 3063022210 |
| Mailing Telephone | 2063022200 |
| Mailing Fax Number | 2063022210 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2013-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00005174 | WA | Behavioral Health & Social Service Providers |
| Street Address |
400 YESLER WAY #110 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-2683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594708 | Debieh Amberlyn Miguel Acido | Counselor | 400 Yesler Way, Seattle, WA 98104-3265 | 2020-10-05 |
| 1891339826 | Rayeong Chang | Counselor | 400 Yesler Way, Seattle, WA 98104-3265 | 2019-11-02 |
| 1831615566 | Samantha Louise Jones | Student in an Organized Health Care Education/Training Program | 400 Yesler Way, Seattle, WA 98104-3265 | 2017-08-15 |
| 1629598875 | Julia Newbold | Student in an Organized Health Care Education/Training Program | 400 Yesler Way, Seattle, WA 98104-3265 | 2017-06-20 |
| 1972047892 | Kelsey Rock | Counselor | 400 Yesler Way, Seattle, WA 98104-3265 | 2016-12-12 |
| 1043762776 | Johanna Congdon | Student in an Organized Health Care Education/Training Program | 400 Yesler Way, Seattle, WA 98104-3265 | 2016-10-28 |
| 1205386653 | Madeline Lee | Social Worker | 400 Yesler Way, Sound Mental Health, Seattle, WA 98104-3265 | 2016-10-10 |
| 1083069678 | Francesca Angelina Criscione | Counselor | 400 Yesler Way, Seattle, WA 98104-3265 | 2016-05-02 |
| 1790148963 | Erika Ellis | Counselor | 400 Yesler Way, Seattle, WA 98104-3265 | 2016-04-04 |
| 1104287408 | Shirley Releford | Student in an Organized Health Care Education/Training Program | 400 Yesler Way, Seattle, WA 98104-3265 | 2016-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675147 | Tory B Gildred | Counselor | 4328 Baker Ave Nw, Seattle, WA 98107-4349 | 2020-09-28 |
| 1104437185 | The Daniel Clinic, Pllc | Counselor | 1406 Western Ave Apt 509, Seattle, WA 98101-2062 | 2020-08-12 |
| 1205468899 | Connie Heath | Counselor | 13044 14th Ave S, Seattle, WA 98108 | 2020-02-11 |
| 1255972063 | Ryan Wathne | Counselor | 325 9th Ave # Ms 359760, Seattle, WA 98104-2420 | 2019-10-02 |
| 1912558370 | Marco Antonio Medina Sotelo | Counselor | 113 23rd Avenue South, Seattle, WA 98144 | 2019-09-26 |
| 1730743717 | Adrienne Renee Burrington | Counselor | 1811 Eastlake Ave E, Seattle, WA 98102-4171 | 2019-04-25 |
| 1578034971 | Charles Quinn | Counselor | 2815 Eastlake Ave E Ste 100, Seattle, WA 98102-3086 | 2018-12-10 |
| 1689144628 | Sarah Katherine Laing | Counselor | 1811 Eastlake Ave, Seattle, WA 98101-1403 | 2018-12-03 |
| 1629546932 | Lawrence Millard Watson | Counselor | 325 9th Ave # 359896, Seattle, WA 98104-2420 | 2018-11-05 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on MR. KHALFANI MWAMBA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.