Gerry Threatt, LMHCA | |
4105 206th Street Ct E, Spanaway, WA 98387-6721 | |
(253) 271-6660 | |
Not Available |
Full Name | Gerry Threatt |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 4105 206th Street Ct E, Spanaway, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285259002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CG60822063 (Washington) | Primary |
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 |
---|---|
Gerry Threatt, LMHCA 4105 206th Street Ct E, Spanaway, WA 98387-6721 Ph: (253) 271-6660 | Gerry Threatt, LMHCA 4105 206th Street Ct E, Spanaway, WA 98387-6721 Ph: (253) 271-6660 |
Heather Lea Marsh, Counselor Medicare: Medicare Enrolled Practice Location: 113 170th St S, Spanaway, WA 98387 Phone: 253-223-3340 | |
Dr. Sharon Marie Dillinger, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 16218 Pacific Ave S Ste B2, Spanaway, WA 98387 Phone: 253-548-8824 Fax: 253-548-3040 | |
Ms. Kabrianna Tamura, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 160th St S Ste 301, Spanaway, WA 98387 Phone: 206-455-3004 | |
Brandy Jordan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17002 Pacific Ave S, Spanaway, WA 98387 Phone: 253-538-2323 | |
Marisol Thompson, CL60166800 Counselor Medicare: Not Enrolled in Medicare Practice Location: 8616 204th Street Ct E, Spanaway, WA 98387 Phone: 253-652-8784 | |
Elisabeth Henriques, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2011 178th Street Ct E, Spanaway, WA 98387 Phone: 631-241-3073 | |
Torri Veloz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17002 Pacific Ave S, Spanaway, WA 98387 Phone: 253-538-2323 Fax: 253-538-2988 |