IndividualActive
Amanda Wager, MSW, MHP
NPI 1891242913 · Mental Illness Community Based Residential Treatment Facility · Seattle, WA
Provider details
- NPI number
- 1891242913
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Credential
- MSW, MHP
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
204 Ne 94th Street
Seattle, WA 98115-2727
Phone: (206) 461-4580
Approximate (ZIP-level) locationGet directions
Mailing address
15622 36th Ave Ne
Lake Forest Park, WA 98155-6616
Registry dates
- Enumerated
- 2016-09-07
- Last updated
- 2016-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.