| Mr David Frank Teachout, BS | |
|
9330 59th Ave Sw, Lakewood, WA 98499-2858 | |
| (253) 620-5015 | |
| (253) 620-5831 |
| Full Name | Mr David Frank Teachout |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 9330 59th Ave Sw, Lakewood, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437308517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | RC60042044 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | LH61083733 (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 |
| Entity Name | Open Mind Mental Health Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093454423 PECOS PAC ID: 2264975580 Enrollment ID: O20241120002641 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David Frank Teachout, BS 9330 59th Ave Sw, Lakewood, WA 98499-2858 Ph: (253) 620-5015 | Mr David Frank Teachout, BS 9330 59th Ave Sw, Lakewood, WA 98499-2858 Ph: (253) 620-5015 |
Claudia Hockett, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5042 | |
Ms. Tammy Marie Stewart, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5833 Fax: 253-620-5789 | |
Ms. Sabrina Lavonne Thompson, AAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 Fax: 253-620-5831 | |
Alida Rothgeb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-7020 | |
Ashley Pettis, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 | |
Tracey Wilber, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 | |
Christine Leah Daly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10116 36th Avenue Ct Sw, Lakewood, WA 98499 Phone: 206-999-1153 |