Charity Hansen, LH61290797 | |
13322 Highway 99 Ste 102, Everett, WA 98204-5440 | |
(425) 977-3798 | |
Not Available |
Full Name | Charity Hansen |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 13322 Highway 99 Ste 102, Everett, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013410695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LH61290797 (Washington) | Primary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
Entity Name | Mindful Therapy Group, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
Mailing Address | Practice Location Address |
---|---|
Charity Hansen, LH61290797 11401 3rd Ave Se Apt S6, Everett, WA 98208-5531 Ph: (303) 264-4491 | Charity Hansen, LH61290797 13322 Highway 99 Ste 102, Everett, WA 98204-5440 Ph: (425) 977-3798 |
Mrs. Melissa Anne Toner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3322 Broadway, Everett, WA 98201 Phone: 425-349-7289 | |
Mr. David Merritt Hicks, CO60131166 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2610 Wetmore Ave, Everett, WA 98201 Phone: 425-258-5270 Fax: 425-258-5275 | |
Sydney Kathrine Thorne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2610 Wetmore Ave, Everett, WA 98201 Phone: 425-258-5270 Fax: 425-258-5275 | |
Jolie Rae Heck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3322 Broadway, Everett, WA 98201 Phone: 425-349-7289 | |
Janelle Saville, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Madison St, Everett, WA 98203 Phone: 425-212-4200 Fax: 425-212-4297 | |
Ashley Dyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Madison St, Everett, WA 98203 Phone: 425-212-4200 | |
Kayleigh Ann Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Madison Street, Everett, WA 98203 Phone: 425-212-4200 Fax: 425-212-4240 |