| Mrs Kacie Michelle Zediker, LMHC, ATR | |
|
505 S 336th St Ste 530, Federal Way, WA 98003-5947 | |
| (253) 400-8657 | |
| (425) 276-0243 |
| Full Name | Mrs Kacie Michelle Zediker |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 505 S 336th St Ste 530, Federal Way, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922347814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH61500883 (Washington) | Primary |
| Entity Name | Blu Orchard Therapy Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760217707 PECOS PAC ID: 0345778114 Enrollment ID: O20250107001478 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kacie Michelle Zediker, LMHC, ATR 505 S 336th St Ste 530, Federal Way, WA 98003-5947 Ph: (253) 400-8657 | Mrs Kacie Michelle Zediker, LMHC, ATR 505 S 336th St Ste 530, Federal Way, WA 98003-5947 Ph: (253) 400-8657 |
Tyre Dulaney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 33480 13th Pl S, Federal Way, WA 98003 Phone: 253-285-7101 | |
Anna Koback, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1336 S 336th St, Federal Way, WA 98003 Phone: 253-833-7444 | |
Sean Robert Reardon, COUNSELOR Counselor Medicare: Medicare Enrolled Practice Location: 33455 6th Ave S Ste 2c, Federal Way, WA 98003 Phone: 253-210-4230 | |
Traia Janette Albano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 33480 13th Pl S, Federal Way, WA 98003 Phone: 253-214-3306 | |
Duane A. Prather, MS, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1010 S 336th St, Suite 218, Federal Way, WA 98003 Phone: 253-835-8983 Fax: 253-835-8987 | |
Jennifer J Mcdaniel, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 31919 1st Ave S, Suite 203, Federal Way, WA 98003 Phone: 703-389-6309 | |
Niles Woods, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1336 S 336th St, Federal Way, WA 98003 Phone: 253-833-7444 |