| |
1102 A St Ste 302 Tacoma WA 98402-5001 | |
(253) 843-7791 | |
(253) 201-4818 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 1102 A St Ste 302, Tacoma, Washington |
Authorized Official Name and Position | Erin C Tansill (PSYCHOLOGIST) |
Authorized Official Contact | 2538437791 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1102 A St Ste 302 Tacoma WA 98402-5001 Ph: (253) 843-7791 | 1102 A St Ste 302 Tacoma WA 98402-5001 Ph: (253) 843-7791 |
NPI Number | 1023890258 |
---|---|
Provider Enumeration Date | 10/23/2023 |
Last Update Date | 04/05/2024 |
Certification Date | 04/05/2024 |
Medicare PECOS PAC ID | 5597118802 |
---|---|
Medicare Enrollment ID | O20240201003945 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023890258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Erin Catlin Tansill |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1750968848 PECOS PAC ID: 0749677730 Enrollment ID: I20220421000699 |
Sankofa Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1925 Westridge Ave W # A, Tacoma, WA 98466 Phone: 253-348-3536 Fax: 253-954-1890 | |
Grit City Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3121 S 7th St, Tacoma, WA 98405 Phone: 253-302-4639 | |
Imagine Behavioral And Developmental Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9720 S Tacoma Way, Tacoma, WA 98499 Phone: 253-682-0320 |