| Seattle Neurocounseling | |
|
12220 113th Ave Ne Ste 210 Kirkland WA 98034-6950 | |
| (425) 403-5765 | |
| Not Available |
| Full Name | Seattle Neurocounseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 12220 113th Ave Ne Ste 210, Kirkland, Washington |
| Authorized Official Name and Position | Carmen Benway (COUNSELOR) |
| Authorized Official Contact | 4254035765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seattle Neurocounseling 12220 113th Ave Ne Ste 210 Kirkland WA 98034-6950 Ph: (425) 403-5765 | Seattle Neurocounseling 12220 113th Ave Ne Ste 210 Kirkland WA 98034-6950 Ph: (425) 403-5765 |
| NPI Number | 1437898772 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 05/28/2024 |
| Certification Date | 05/28/2024 |
| Medicare PECOS PAC ID | 4082156518 |
|---|---|
| Medicare Enrollment ID | O20240611004235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437898772 | NPI | - | NPPES |
| 2238102 | Medicaid | WA |
| Provider Name | Carmen Noel Benway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457864068 PECOS PAC ID: 4789056110 Enrollment ID: I20240612000476 |
| Provider Name | Kathleen M Howell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518920800 PECOS PAC ID: 2365984846 Enrollment ID: I20240612001574 |
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