| Joe Weatherby Therapy, Llc | |
|
3250 Airport Way S Ste 420 Seattle WA 98134-2167 | |
| (206) 348-5460 | |
| Not Available |
| Full Name | Joe Weatherby Therapy, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3250 Airport Way S Ste 420, Seattle, Washington |
| Authorized Official Name and Position | Joseph Weatherby (OWNER) |
| Authorized Official Contact | 2063485460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joe Weatherby Therapy, Llc 3250 Airport Way S Ste 420 Seattle WA 98134-2167 Ph: (206) 348-5460 | Joe Weatherby Therapy, Llc 3250 Airport Way S Ste 420 Seattle WA 98134-2167 Ph: (206) 348-5460 |
| NPI Number | 1528542305 |
|---|---|
| Provider Enumeration Date | 09/18/2018 |
| Last Update Date | 09/18/2018 |
| Medicare PECOS PAC ID | 3870030893 |
|---|---|
| Medicare Enrollment ID | O20240807003278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528542305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Joseph Michael Weatherby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922419571 PECOS PAC ID: 0749406783 Enrollment ID: I20240807003444 |
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