Steven Anthony Tracy, LMHCA | |
17424 122nd Ave E Unit G105, Puyallup, WA 98374-9036 | |
(425) 770-9195 | |
Not Available |
Full Name | Steven Anthony Tracy |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 17424 122nd Ave E Unit G105, Puyallup, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114637253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LH61640235 (Washington) | Primary |
Entity Name | Mindful Therapy Group Pc |
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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 |
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Steven Anthony Tracy, LMHCA 17424 122nd Ave E Unit G105, Puyallup, WA 98374-9036 Ph: (425) 770-9195 | Steven Anthony Tracy, LMHCA 17424 122nd Ave E Unit G105, Puyallup, WA 98374-9036 Ph: (425) 770-9195 |
Rashaun A Renggli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer Ave, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8392 | |
Brittney A Craig, M.A. LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 N Meridian Ste 202, Puyallup, WA 98371 Phone: 206-595-2470 | |
Laurel M Holden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer Ave, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8392 | |
Michael A Pinatiello, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer Ave, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8392 | |
Melissa D Romans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer Ave, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8392 | |
Rainy D Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer, Puyallup, WA 98372 Phone: 253-697-8452 Fax: 253-697-3730 | |
Rebecca Stoker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer, Puyallup, WA 98372 Phone: 253-697-8400 |