Sophia Lust

NPI 1063872844 · on the registry since 2016 · sole proprietor

Practice

Address: 11711 Se 8th St
Suite 315
Bellevue, WA 98005
Phone: (425) 998-7215
Organisation at this address: Nicholson Psychiatry, Pllc
Novelpath Behavioral Wellness Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington