Colby Tyler Mathis, MA LMHC | |
125 N Methow Valley Hwy, Room 5, Twisp, WA 98856 | |
(509) 418-9876 | |
Not Available |
Full Name | Colby Tyler Mathis |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 125 N Methow Valley Hwy, Twisp, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679027551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LH61260984 (Washington) | Primary |
Entity Name | Mindful Therapy Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
Mailing Address | Practice Location Address |
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Colby Tyler Mathis, MA LMHC Po Box 325, Twisp, WA 98856-0325 Ph: (509) 418-9876 | Colby Tyler Mathis, MA LMHC 125 N Methow Valley Hwy, Room 5, Twisp, WA 98856 Ph: (509) 418-9876 |
Elaine Omachi, MA, LHMC Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 Lincoln St S, Twisp, WA 98856 Phone: 509-997-0779 | |
Jacquelyn Jo Gallaway, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Wagner Rd, Twisp, WA 98856 Phone: 206-457-9291 | |
Sarah Washam, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Glover St S Ste 201, Twisp, WA 98856 Phone: 509-557-0525 |