Phillip A Tageant, MSW, LMHC | |
811 Madison St, Everett, WA 98203-4543 | |
(425) 212-4200 | |
(360) 676-7750 |
Full Name | Phillip A Tageant |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 811 Madison St, Everett, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265492474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LH60247135 (Washington) | Primary |
Entity Name | Sunrise Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013092550 PECOS PAC ID: 4981799483 Enrollment ID: O20101112000351 |
Mailing Address | Practice Location Address |
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Phillip A Tageant, MSW, LMHC Po Box 2569, Everett, WA 98213-0569 Ph: (425) 212-4200 | Phillip A Tageant, MSW, LMHC 811 Madison St, Everett, WA 98203-4543 Ph: (425) 212-4200 |
Mrs. Melissa Anne Toner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3322 Broadway, Everett, WA 98201 Phone: 425-349-7289 | |
Mr. David Merritt Hicks, CO60131166 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2610 Wetmore Ave, Everett, WA 98201 Phone: 425-258-5270 Fax: 425-258-5275 | |
Sydney Kathrine Thorne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2610 Wetmore Ave, Everett, WA 98201 Phone: 425-258-5270 Fax: 425-258-5275 | |
Jolie Rae Heck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3322 Broadway, Everett, WA 98201 Phone: 425-349-7289 | |
Janelle Saville, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Madison St, Everett, WA 98203 Phone: 425-212-4200 Fax: 425-212-4297 | |
Cheryl Carp, Counselor Medicare: Medicare Enrolled Practice Location: 3000 Rockefeller Ave # Ms 305, Everett, WA 98201 Phone: 425-388-7214 | |
Ashley Dyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Madison St, Everett, WA 98203 Phone: 425-212-4200 |