| Mark Allen Smith, LMHC | |
|
14201 Se Petrovitsky Rd Ste A3165, Renton, WA 98058-8986 | |
| (425) 757-4648 | |
| Not Available |
| Full Name | Mark Allen Smith |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 14201 Se Petrovitsky Rd Ste A3165, Renton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093282675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH61149661 (Washington) | Primary |
| Entity Name | Mindful Therapy Group PC |
|---|---|
| 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 |
|---|---|
| Mark Allen Smith, LMHC 14201 Se Petrovitsky Rd Ste A3165, Renton, WA 98058-8986 Ph: (425) 757-4648 | Mark Allen Smith, LMHC 14201 Se Petrovitsky Rd Ste A3165, Renton, WA 98058-8986 Ph: (425) 757-4648 |
Tara D Shelby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 S 2nd St, Renton, WA 98057 Phone: 425-226-5536 Fax: 425-226-0354 |
Kelly Kassir, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1025 S 3rd St Ste B, Renton, WA 98057 Phone: 206-624-6477 |
Francesca Myhrvold, Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Wells Ave S, Renton, WA 98057 Phone: 253-833-7444 |
Ginny D Miller, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 Pelly Ave N, Suite 1, Renton, WA 98057 Phone: 425-786-3737 |
Dave Mcnamara, Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Rainier Ave S, Suite 3, Renton, WA 98057 Phone: 425-255-5526 Fax: 425-255-5523 |
Laurel Granger, M.A., L.M.H.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 S Puget Dr, Suite 205, Renton, WA 98055 Phone: 425-736-1604 |
Ms. Jaime Dawson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 Logan Ave S, Renton, WA 98057 Phone: 206-234-1124 |