| Insight Alliance Psychotherapy, Pc | |
|
12537 15th Ave Ne Ste 208 Seattle WA 98125-3979 | |
| (425) 559-9565 | |
| Not Available |
| Full Name | Insight Alliance Psychotherapy, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12537 15th Ave Ne Ste 208, Seattle, Washington |
| Authorized Official Name and Position | Heather Patricia Labouy (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2069306940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Alliance Psychotherapy, Pc 6741 Ne 182nd St Unit C113 Kenmore WA 98028-5009 Ph: (206) 930-6940 | Insight Alliance Psychotherapy, Pc 12537 15th Ave Ne Ste 208 Seattle WA 98125-3979 Ph: (425) 559-9565 |
| NPI Number | 1538627773 |
|---|---|
| Provider Enumeration Date | 03/06/2019 |
| Last Update Date | 03/06/2019 |
| Medicare PECOS PAC ID | 5092056788 |
|---|---|
| Medicare Enrollment ID | O20190405001628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538627773 | NPI | - | NPPES |
| 1376709550 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Heather P Labouy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376709550 PECOS PAC ID: 2365758281 Enrollment ID: I20150908001919 |
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