| New Moon Ecotherapy Pllc | |
|
4501 15th Ave S Ste 102 Seattle WA 98108-1874 | |
| (206) 552-8857 | |
| Not Available |
| Full Name | New Moon Ecotherapy Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4501 15th Ave S Ste 102, Seattle, Washington |
| Authorized Official Name and Position | Ari Bonagofski (OWNER) |
| Authorized Official Contact | 2065528857 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Moon Ecotherapy Pllc 4501 15th Ave S Ste 102 Seattle WA 98108-1874 Ph: (206) 552-8857 | New Moon Ecotherapy Pllc 4501 15th Ave S Ste 102 Seattle WA 98108-1874 Ph: (206) 552-8857 |
| NPI Number | 1124890165 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Medicare PECOS PAC ID | 6406290923 |
|---|---|
| Medicare Enrollment ID | O20240222003393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124890165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ari Carry Ann Bonagofski |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376991612 PECOS PAC ID: 7214371731 Enrollment ID: I20240222003446 |
Frederick B Davis Md Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7319 Latona Ave Ne, Seattle, WA 98115 Phone: 206-525-1898 Fax: 206-729-0564 | |
Blueprints Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 S. Horton St., Unit 703, Seattle, WA 98134 Phone: 206-905-4660 Fax: 206-577-1101 | |
Winther Clinical Social Work Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3925 Sw 107th St, Seattle, WA 98146 Phone: 206-218-8303 | |
Acorn Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2012 Ne 65th St, Seattle, WA 98115 Phone: 425-242-7187 Fax: 425-333-7771 | |
Rehabilitation & Evaluation Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 226 Summit Ave E, Seattle, WA 98102 Phone: 206-322-2900 | |
Noctua Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Nickerson St Ste 303, Seattle, WA 98109 Phone: 425-686-8674 | |
New Horizons Mental Health Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12531 27th Ave Ne, Seattle, WA 98125 Phone: 210-669-3776 |