Provider Demographics
NPI:1255115853
Name:PROSPER BEHAVIORAL HEALTH PLLC
Entity type:Organization
Organization Name:PROSPER BEHAVIORAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:206-962-2880
Mailing Address - Street 1:1201 2ND AVE STE 900
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-3020
Mailing Address - Country:US
Mailing Address - Phone:206-962-2880
Mailing Address - Fax:206-962-2879
Practice Address - Street 1:1201 2ND AVE STE 900
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-3020
Practice Address - Country:US
Practice Address - Phone:206-962-2880
Practice Address - Fax:206-962-2879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty