| Reflect | |
|
226 Summit Ave E Seattle WA 98102-5619 | |
| (425) 269-2461 | |
| (206) 558-5659 |
| Full Name | Reflect |
|---|---|
| Speciality | Clinic/Center |
| Location | 226 Summit Ave E, Seattle, Washington |
| Authorized Official Name and Position | Grace E Jacobs (PSYCHOTHERAPIST/ BUSINESS OWNER) |
| Authorized Official Contact | 2067058595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reflect 226 Summit Ave E Seattle WA 98102-5619 Ph: (425) 269-2461 | Reflect 226 Summit Ave E Seattle WA 98102-5619 Ph: (425) 269-2461 |
| NPI Number | 1730794421 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 02/23/2022 |
| Certification Date | 02/23/2022 |
| Medicare PECOS PAC ID | 9638589815 |
|---|---|
| Medicare Enrollment ID | O20201028002571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730794421 | NPI | - | NPPES |
| 2071895 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Grace Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689117301 PECOS PAC ID: 2466732268 Enrollment ID: I20161214000724 |
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