Seolah Park, | |
3081 S Christys Crossing Dr, Federal Way, WA 98003-7785 | |
(503) 269-2998 | |
Not Available |
Full Name | Seolah Park |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3081 S Christys Crossing Dr, Federal Way, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093270704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | MC61186722 (Washington) | Primary |
Entity Name | Peaceful Heart Therapy, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497521694 PECOS PAC ID: 9537507256 Enrollment ID: O20240401001591 |
Mailing Address | Practice Location Address |
---|---|
Seolah Park, 3081 S Christys Crossing Dr, Federal Way, WA 98003-7785 Ph: (503) 269-2998 | Seolah Park, 3081 S Christys Crossing Dr, Federal Way, WA 98003-7785 Ph: (503) 269-2998 |
Tyre Dulaney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 33480 13th Pl S, Federal Way, WA 98003 Phone: 253-285-7101 | |
Anna Koback, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1336 S 336th St, Federal Way, WA 98003 Phone: 253-833-7444 | |
Sean Robert Reardon, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 33455 6th Ave S Ste 2c, Federal Way, WA 98003 Phone: 253-210-4230 | |
Traia Janette Albano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 33480 13th Pl S, Federal Way, WA 98003 Phone: 253-214-3306 | |
Duane A. Prather, MS, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1010 S 336th St, Suite 218, Federal Way, WA 98003 Phone: 253-835-8983 Fax: 253-835-8987 | |
Jennifer J Mcdaniel, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 31919 1st Ave S, Suite 203, Federal Way, WA 98003 Phone: 703-389-6309 | |
Niles Woods, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1336 S 336th St, Federal Way, WA 98003 Phone: 253-833-7444 |