| Telos Transformational Therapies | |
|
22725 44th Ave W Ste 208 Mountlake Terrace WA 98043-4500 | |
| (425) 750-5206 | |
| Not Available |
| Full Name | Telos Transformational Therapies |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 22725 44th Ave W Ste 208, Mountlake Terrace, Washington |
| Authorized Official Name and Position | Scott Ross (OWNER) |
| Authorized Official Contact | 4257505206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Telos Transformational Therapies 22725 44th Ave W Ste 208 Mountlake Terrace WA 98043-4500 Ph: (425) 750-5206 | Telos Transformational Therapies 22725 44th Ave W Ste 208 Mountlake Terrace WA 98043-4500 Ph: (425) 750-5206 |
| NPI Number | 1962070508 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 07/02/2021 |
| Certification Date | 07/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962070508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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