Tree Of Life Therapy | |
14205 Se 36th St Ste 100 Bellevue WA 98006-1553 | |
(216) 282-4749 | |
Not Available |
Full Name | Tree Of Life Therapy |
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Speciality | Social Worker |
Location | 14205 Se 36th St Ste 100, Bellevue, Washington |
Authorized Official Name and Position | Tracy Hromadka (THERAPIST) |
Authorized Official Contact | 2162824749 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tree Of Life Therapy 1121 Harrison Ave # 1022 Centralia WA 98531-1852 Ph: (216) 282-4749 | Tree Of Life Therapy 14205 Se 36th St Ste 100 Bellevue WA 98006-1553 Ph: (216) 282-4749 |
NPI Number | 1164167953 |
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Provider Enumeration Date | 05/05/2022 |
Last Update Date | 05/05/2022 |
Certification Date | 05/05/2022 |
Medicare PECOS PAC ID | 0042660748 |
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Medicare Enrollment ID | O20231221000211 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164167953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Tracy Dawn Hromadka |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740855295 PECOS PAC ID: 1254721392 Enrollment ID: I20231221000386 |
Provider Name | Elizabeth Walker-lindgren |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1568838019 PECOS PAC ID: 2668824814 Enrollment ID: I20240123004158 |
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