|
| |
|
417 E Pioneer Ste B Puyallup WA 98372-3267 | |
| (253) 285-8673 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 417 E Pioneer Ste B, Puyallup, Washington |
| Authorized Official Name and Position | Kathryn Zawislak (THERAPIST/OWNER) |
| Authorized Official Contact | 2532858673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
417 E Pioneer Ste B Puyallup WA 98372-3267 Ph: (253) 285-8673 | 417 E Pioneer Ste B Puyallup WA 98372-3267 Ph: (253) 285-8673 |
| NPI Number | 1619549086 |
|---|---|
| Provider Enumeration Date | 07/14/2021 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Medicare PECOS PAC ID | 4789122367 |
|---|---|
| Medicare Enrollment ID | O20240814000835 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619549086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| Provider Name | Kathryn Marie Zawislak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922547231 PECOS PAC ID: 5698213270 Enrollment ID: I20240814000969 |
Sound Recovery Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Valley Ave Nw, A, Puyallup, WA 98371 Phone: 253-848-3363 | |
Pathway To Change Counseling Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2223 S Meridian, Puyallup, WA 98371 Phone: 253-686-1632 | |
Abate Abuse Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10312 120th St E, Suite 3, Puyallup, WA 98374 Phone: 125-384-8688 Fax: 125-660-4031 | |
Live Life Healed Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2518 Chateau Dr, Puyallup, WA 98373 Phone: 253-693-8096 | |
Hope Development Practice Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 E Main Ste 103, Puyallup, WA 98372 Phone: 360-770-2866 Fax: 253-309-3033 | |
Rebecca Beutler Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15406 Meridian E, Suite 205, Puyallup, WA 98375 Phone: 253-278-9292 Fax: 253-604-6237 |