| Mr Angelo Avila, LMHCA | |
|
119 N Commercial St, Bellingham, Wa 98225, Suite 950a, Bellingham, WA 98225-8048 | |
| (360) 734-5458 | |
| Not Available |
| Full Name | Mr Angelo Avila |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 119 N Commercial St, Bellingham, Wa 98225, Bellingham, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285232645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | MC61091501 (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 |
|---|---|
| Mr Angelo Avila, LMHCA 3120 Adams Ave Apt D302, Bellingham, WA 98225-6578 Ph: (310) 569-3140 | Mr Angelo Avila, LMHCA 119 N Commercial St, Bellingham, Wa 98225, Suite 950a, Bellingham, WA 98225-8048 Ph: (360) 734-5458 |
Katharine Margaret Botelle Wolhart, MSW, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 W. Bakerview Rd. Suite 110, Office 110, Bellingham, WA 98226 Phone: 360-926-5647 | |
Mr. Keith Poynter, Counselor Medicare: Medicare Enrolled Practice Location: 2530 Kwina Rd, Bellingham, WA 98226 Phone: 360-384-2330 Fax: 360-384-3218 | |
Mr. Richard J Evans V, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Lakeway Dr, Bellingham, WA 98225 Phone: 360-676-6749 | |
Hollace Carole Schetrompf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 N Shore Dr, Bellingham, WA 98226 Phone: 360-676-6000 | |
Ms. Alison Hastings, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1155 N State St Ste 616, Bellingham, WA 98225 Phone: 360-671-3574 | |
Annalisa Ochiltre, MS Counselor Medicare: Medicare Enrolled Practice Location: 2333 Pacific St, Bellingham, WA 98229 Phone: 360-472-0528 Fax: 360-653-8028 | |
Jaclyn Reynolds, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 N Shore Dr, Bellingham, WA 98226 Phone: 360-676-6000 |