| |
401 Broadway Suite 305 Tacoma WA 98402-3900 | |
(253) 656-6676 | |
Not Available |
Full Name | |
---|---|
Speciality | Social Worker - Clinical |
Location | 401 Broadway, Tacoma, Washington |
Authorized Official Name and Position | Mitchell Rosenzweig (THERAPIST) |
Authorized Official Contact | 2536566676 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
401 Broadway Suite 305 Tacoma WA 98402-3900 Ph: () - | 401 Broadway Suite 305 Tacoma WA 98402-3900 Ph: (253) 656-6676 |
NPI Number | 1780057141 |
---|---|
Provider Enumeration Date | 11/07/2015 |
Last Update Date | 11/09/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780057141 | NPI | - | NPPES |
3087507 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW 60576429 (Washington) | Primary |
Sankofa Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1925 Westridge Ave W # A, Tacoma, WA 98466 Phone: 253-348-3536 Fax: 253-954-1890 | |
Grit City Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3121 S 7th St, Tacoma, WA 98405 Phone: 253-302-4639 | |
Imagine Behavioral And Developmental Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9720 S Tacoma Way, Tacoma, WA 98499 Phone: 253-682-0320 |