OrganizationActive
Eastside Social Skills Therapy LLC
NPI 1659765816 · Preferred Provider Organization · Issaquah, WA
Provider details
- NPI number
- 1659765816
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Penny Lathum, Owner(206) 380-3009
Specialties & taxonomies
Managed Care Organizations
Practice location
5436 232nd Ave Se
Issaquah, WA 98029
Phone: (206) 380-3009
Approximate (ZIP-level) locationGet directions
Mailing address
5436 232nd Ave Se
Issaquah, WA 98029
Registry dates
- Enumerated
- 2015-03-26
- Last updated
- 2015-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.