Mr Tony Jefferson Meinhardt, BA AAC | |
2428 W Reynolds Ave, Centralia, WA 98531-4554 | |
(360) 330-9044 | |
(360) 736-3139 |
Full Name | Mr Tony Jefferson Meinhardt |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 2428 W Reynolds Ave, Centralia, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790265312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Washington) | Primary |
Entity Name | Lewis County Mental Health Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619068624 PECOS PAC ID: 5496641177 Enrollment ID: O20040227000824 |
Mailing Address | Practice Location Address |
---|---|
Mr Tony Jefferson Meinhardt, BA AAC 8124 58th Ave Se, Olympia, WA 98513-5306 Ph: (360) 556-8793 | Mr Tony Jefferson Meinhardt, BA AAC 2428 W Reynolds Ave, Centralia, WA 98531-4554 Ph: (360) 330-9044 |
Jennifer Orchard, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2428 W Reynolds Ave, Centralia, WA 98531 Phone: 360-330-9044 | |
Naomi Jean Hamilton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3510 Steelhammer Dr, Centralia, WA 98531 Phone: 360-330-9044 | |
Ms. Kari Ann Tjersland, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2428 W Reynolds Ave, Centralia, WA 98531 Phone: 360-330-9044 Fax: 360-736-3139 | |
Daniel Hilario Ortiz, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3510 Steelhammer Dr, Centralia, WA 98531 Phone: 360-623-8020 Fax: 360-623-1072 | |
Jessenia Celia-katalina Garcia, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3510 Steelhammer Dr, Centralia, WA 98531 Phone: 360-623-8020 Fax: 360-623-1072 | |
Gage Edward Lafferty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3510 Steelhammer Dr, Centralia, WA 98531 Phone: 360-999-7602 | |
Brandy Michelle Peterson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 W. Main Steet, Centralia, WA 98531 Phone: 360-748-4339 |