Laura Beth Wallace, LMFT | |
3430 Sw 320th St Ste D2, Federal Way, WA 98023-2292 | |
(253) 289-6099 | |
Not Available |
Full Name | Laura Beth Wallace |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 3430 Sw 320th St Ste D2, 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 |
---|---|---|---|
1659515013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 001470 (Connecticut) | Primary |
Entity Name | Twin Lakes Counseling, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053828814 PECOS PAC ID: 3375988298 Enrollment ID: O20240301002520 |
Mailing Address | Practice Location Address |
---|---|
Laura Beth Wallace, LMFT 3430 Sw 320th St, Federal Way, WA 98023-2292 Ph: (253) 289-6099 | Laura Beth Wallace, LMFT 3430 Sw 320th St Ste D2, Federal Way, WA 98023-2292 Ph: (253) 289-6099 |
Kalisi Mafi, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3430 Sw 320th St, Federal Way, WA 98023 Phone: 253-289-6099 | |
Angelica Friedmann, MFT, INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3430 Sw 320th St Ste D2, Federal Way, WA 98023 Phone: 808-282-2501 | |
Ashley Marie Haynes-gibson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 34004 16th Ave S Ste 200, Federal Way, WA 98003 Phone: 253-874-3630 | |
Daisy Claire Shangrow, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 33400 9th Ave S Ste 116, Federal Way, WA 98003 Phone: 206-408-8168 | |
Leah Hayes, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3430 Sw 320th St, Federal Way, WA 98023 Phone: 253-242-5987 | |
Elise M Hebert, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3430 Sw 320th St, Federal Way, WA 98023 Phone: 253-289-6099 Fax: 253-231-7251 | |
Jessica Alison Bahr, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 33507 9th Ave S Ste H2, Federal Way, WA 98003 Phone: 253-347-2579 |