Provider Demographics
NPI:1063616316
Name:HIGHLINE SCHOOL DISTRICT
Entity type:Organization
Organization Name:HIGHLINE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRST STEPS COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOHEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MEED
Authorized Official - Phone:206-433-2309
Mailing Address - Street 1:15675 AMBAUM BLVD SW
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166
Mailing Address - Country:US
Mailing Address - Phone:206-433-2339
Mailing Address - Fax:206-277-5960
Practice Address - Street 1:15675 8TH AVENUE S
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98148
Practice Address - Country:US
Practice Address - Phone:206-433-2369
Practice Address - Fax:206-277-5960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty