Mastery Mental Health Pllc | |
627 5th St Ste 200 Mukilteo WA 98275-1580 | |
(206) 309-3839 | |
(425) 513-2329 |
Full Name | Mastery Mental Health Pllc |
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Speciality | Social Worker |
Location | 627 5th St Ste 200, Mukilteo, Washington |
Authorized Official Name and Position | Geoffrey Michael Simkins (OWNER/COUNSELOR) |
Authorized Official Contact | 3605663722 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mastery Mental Health Pllc 627 5th St Ste 200 Mukilteo WA 98275-1580 Ph: (206) 309-3839 | Mastery Mental Health Pllc 627 5th St Ste 200 Mukilteo WA 98275-1580 Ph: (206) 309-3839 |
NPI Number | 1356942064 |
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Provider Enumeration Date | 11/09/2020 |
Last Update Date | 11/09/2020 |
Certification Date | 11/09/2020 |
Medicare PECOS PAC ID | 4284047028 |
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Medicare Enrollment ID | O20210115000399 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356942064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Geoffrey M Simkins |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568703551 PECOS PAC ID: 7214225119 Enrollment ID: I20161010000630 |
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