| Rebecca Nix, LMHC CCTP | |
|
24452 12th Ave S, Des Moines, WA 98198-3867 | |
| (253) 217-0936 | |
| Not Available |
| Full Name | Rebecca Nix |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 24452 12th Ave S, Des Moines, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376034231 | NPI | - | NPPES |
| LH61199120 | Other | WA | STATE OF WASHINGTON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH61199120 (Washington) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Lifebulb Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699491464 PECOS PAC ID: 2062881162 Enrollment ID: O20221213000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Nix, LMHC CCTP 24452 12th Ave S, Des Moines, WA 98198-3867 Ph: (253) 217-0936 | Rebecca Nix, LMHC CCTP 24452 12th Ave S, Des Moines, WA 98198-3867 Ph: (253) 217-0936 |
Julie Siegfried, Counselor Medicare: Not Enrolled in Medicare Practice Location: 26401 Pacific Hwy S, Des Moines, WA 98198 Phone: 253-833-7444 | |
Kiana Podratz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 26401 Pacific Hwy S, Des Moines, WA 98198 Phone: 253-833-7444 | |
Miriam C Reyes, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1909 S 259th St, Des Moines, WA 98198 Phone: 702-841-4058 | |
Megan Monroe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 26401 Pacific Hwy S, Des Moines, WA 98198 Phone: 253-833-7444 | |
Donna Lynne White, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22000 Marine View Dr. S., Des Moines, WA 98198 Phone: 206-380-8617 | |
Gillian B Vik, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 20834 5th Ave S, Des Moines, WA 98198 Phone: 206-291-6518 | |
Janelle A Gauthier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 26401 Pacific Hwy S, Des Moines, WA 98198 Phone: 253-833-7444 |