OrganizationActive
For a Child, LLC
NPI 1780886341 · Clinical Child & Adolescent Psychologist · Seattle, WA
Provider details
- NPI number
- 1780886341
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Janine Jones, Owner(206) 725-1820
- License
- PY00002482 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5224 Wilson Ave S
Suite 101a
Seattle, WA 98118-2587
Phone: (206) 725-1820
Fax: (206) 725-1890
Approximate (ZIP-level) locationGet directions
Mailing address
5224 Wilson Ave S
Seattle, WA 98118-2587
Registry dates
- Enumerated
- 2007-06-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.