Aletheia Therapeutics, Pllc | |
901 Boren Ave Suite 701 Seattle WA 98104-3595 | |
(206) 473-2435 | |
(206) 832-4641 |
Full Name | Aletheia Therapeutics, Pllc |
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Speciality | Counselor |
Location | 901 Boren Ave, Seattle, Washington |
Authorized Official Name and Position | Michael John Sibrava (OWNER) |
Authorized Official Contact | 2064732435 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aletheia Therapeutics, Pllc 901 Boren Ave Suite 701 Seattle WA 98104-3595 Ph: (206) 473-2435 | Aletheia Therapeutics, Pllc 901 Boren Ave Suite 701 Seattle WA 98104-3595 Ph: (206) 473-2435 |
NPI Number | 1619422102 |
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Provider Enumeration Date | 08/24/2016 |
Last Update Date | 02/26/2024 |
Certification Date | 02/26/2024 |
Medicare PECOS PAC ID | 3577906148 |
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Medicare Enrollment ID | O20240210000553 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619422102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Michael John Sibrava |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1477615755 PECOS PAC ID: 4486097052 Enrollment ID: I20240227004311 |
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