Modern Youth, PLLC
Marriage & Family Therapist in Federal Way, WA. Organization (NPI-2).
NPI number1669337366
StatusActive
Last updated in NPPESDec 16, 2025
Details
- NPI
- 1669337366
- Entity type
- Organization (NPI-2)
- Legal business name
- Modern Youth, PLLC
- Organization subpart
- No
- Enumeration date
- Dec 16, 2025
- Certification date
- Dec 16, 2025
- Last updated
- Dec 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
33309 1st Way S Ste A-105Federal Way, WA 98003-6260
Phone 253-335-6013
Mailing address
Po Box 772Enumclaw, WA 98022-0772
Phone 253-335-6013
Authorized official
Kelly Ferguson
Provider/Owner
2533356013
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