| Haylee M Hanthorn, LMHC, SUDP | |
|
320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | |
| (360) 377-3776 | |
| Not Available |
| Full Name | Haylee M Hanthorn |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 320 S Kitsap Blvd, Port Orchard, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477025948 | NPI | - | NPPES |
| 070688 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH61667283 (Washington) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 60849807 (Washington) | Primary |
| Entity Name | Peninsula Community Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982654182 PECOS PAC ID: 9436044781 Enrollment ID: O20040217000362 |
| Mailing Address | Practice Location Address |
|---|---|
| Haylee M Hanthorn, LMHC, SUDP 2261 Se Abernathy Ct, Port Orchard, WA 98366-2331 Ph: (425) 923-3386 | Haylee M Hanthorn, LMHC, SUDP 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 Ph: (360) 377-3776 |
Peter Elliot Thomas, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5319 Bethel Rd Se, Port Orchard, WA 98367 Phone: 206-504-3203 | |
Mrs. Carol Mae Brigham, SUDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 Division St # Ms -19, Port Orchard, WA 98366 Phone: 360-337-4625 Fax: 360-337-4704 | |
Miss Cassidy Rose Smith, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 661 Taylor St, Port Orchard, WA 98366 Phone: 360-337-4625 | |
Carlos G Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 Lumsden Rd, Port Orchard, WA 98367 Phone: 360-881-7878 Fax: 360-876-0713 | |
Elizabeth Jones, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2497 Bethel Rd Se Ste 201, Port Orchard, WA 98366 Phone: 360-919-5350 | |
Katrina Kane, SUDP/T Counselor Medicare: Not Enrolled in Medicare Practice Location: 661 Taylor St, Port Orchard, WA 98366 Phone: 360-337-4625 | |
Scott Dalgleish, Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 Division St, Port Orchard, WA 98366 Phone: 360-337-4625 |