| Joyful Awakening Practice Llc | |
|
5623 Rainier Ave S Seattle WA 98118-2442 | |
| (971) 258-2971 | |
| Not Available |
| Full Name | Joyful Awakening Practice Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5623 Rainier Ave S, Seattle, Washington |
| Authorized Official Name and Position | Horizon Greene (OWNER, PROVIDER) |
| Authorized Official Contact | 9712582971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joyful Awakening Practice Llc Po Box 28442 Seattle WA 98118-8442 Ph: (971) 258-2971 | Joyful Awakening Practice Llc 5623 Rainier Ave S Seattle WA 98118-2442 Ph: (971) 258-2971 |
| NPI Number | 1346917986 |
|---|---|
| Provider Enumeration Date | 08/23/2021 |
| Last Update Date | 08/23/2021 |
| Certification Date | 08/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346917986 | NPI | - | NPPES |
| 1912204546 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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