| Stacy Beatty Lmhc Llc | |
|
18209 Sr 410 E Ste 304 Bonney Lake WA 98391-5146 | |
| (253) 409-1919 | |
| (253) 299-8445 |
| Full Name | Stacy Beatty Lmhc Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 18209 Sr 410 E Ste 304, Bonney Lake, Washington |
| Authorized Official Name and Position | Stacy L Beatty (LLC) |
| Authorized Official Contact | 2534091919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Beatty Lmhc Llc 18209 Sr 410 E Ste 304 Bonney Lake WA 98391-5146 Ph: (253) 409-1919 | Stacy Beatty Lmhc Llc 18209 Sr 410 E Ste 304 Bonney Lake WA 98391-5146 Ph: (253) 409-1919 |
| NPI Number | 1073161766 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 08/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073161766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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