| Azimuth Counseling Pllc | |
|
1206 N Dolarway Rd Ste 205 Ellensburg WA 98926-8392 | |
| (509) 899-7685 | |
| (855) 644-1338 |
| Full Name | Azimuth Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1206 N Dolarway Rd Ste 205, Ellensburg, Washington |
| Authorized Official Name and Position | Tasha L Hansen (OWNER PSYCHOTHERAPIST) |
| Authorized Official Contact | 5098997685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azimuth Counseling Pllc Po Box 465 Ellensburg WA 98926-8392 Ph: (509) 899-7685 | Azimuth Counseling Pllc 1206 N Dolarway Rd Ste 205 Ellensburg WA 98926-8392 Ph: (509) 899-7685 |
| NPI Number | 1609454537 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 07/18/2023 |
| Certification Date | 07/18/2023 |
| Medicare PECOS PAC ID | 6305240136 |
|---|---|
| Medicare Enrollment ID | O20210802001512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609454537 | NPI | - | NPPES |
| 2203415 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tasha L. Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457897498 PECOS PAC ID: 0547672545 Enrollment ID: I20201216001379 |
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