Provider Demographics
NPI:1265562342
Name:RAWLINGS, WENDY (LMHC)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:RAWLINGS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33600 6TH AVE S
Mailing Address - Street 2:SUITE 212
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-6743
Mailing Address - Country:US
Mailing Address - Phone:253-661-0181
Mailing Address - Fax:
Practice Address - Street 1:33600 6TH AVE S
Practice Address - Street 2:SUITE 212
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6743
Practice Address - Country:US
Practice Address - Phone:253-661-0181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003809101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health