| Sound Somatic Therapy, Pllc | |
|
4533 13th Ave Se Lacey WA 98503-2321 | |
| (360) 930-9838 | |
| (888) 460-0392 |
| Full Name | Sound Somatic Therapy, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4533 13th Ave Se, Lacey, Washington |
| Authorized Official Name and Position | Stephanie Sisson (MANAGER) |
| Authorized Official Contact | 2063994761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Somatic Therapy, Pllc 4533 13th Ave Se Lacey WA 98503-2321 Ph: (206) 399-4761 | Sound Somatic Therapy, Pllc 4533 13th Ave Se Lacey WA 98503-2321 Ph: (360) 930-9838 |
| NPI Number | 1073164463 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 04/03/2020 |
| Certification Date | 04/03/2020 |
| Medicare PECOS PAC ID | 3870923790 |
|---|---|
| Medicare Enrollment ID | O20200416003361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073164463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Stephanie Laura Sisson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699135707 PECOS PAC ID: 4789014606 Enrollment ID: I20200416003432 |
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