| All That I Am Pllc | |
|
30412 3rd Pl S Federal Way WA 98003-4006 | |
| (253) 268-6034 | |
| Not Available |
| Full Name | All That I Am Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 30412 3rd Pl S, Federal Way, Washington |
| Authorized Official Name and Position | Trenecsia Wilson (OWNER) |
| Authorized Official Contact | 2532686034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All That I Am Pllc 4301 S Pine St Ste 92 Tacoma WA 98409-7259 Ph: (253) 617-4618 | All That I Am Pllc 30412 3rd Pl S Federal Way WA 98003-4006 Ph: (253) 268-6034 |
| NPI Number | 1558955641 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 03/01/2021 |
| Certification Date | 03/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558955641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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