| Tracee Mullen, LMHC, SUDP | |
|
103 E Holly St Ste 211, Bellingham, WA 98225-4728 | |
| (360) 920-5143 | |
| Not Available |
| Full Name | Tracee Mullen |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 103 E Holly St Ste 211, Bellingham, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740693092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH61649510 (Washington) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO60368570 (Washington) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Illahee Home Corp | 7719374776 | 2 |
| Entity Name | Illahee Home Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124329669 PECOS PAC ID: 7719374776 Enrollment ID: O20220422000673 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracee Mullen, LMHC, SUDP 4120 Red Cedar Rd, Blaine, WA 98230-9155 Ph: (360) 920-5143 | Tracee Mullen, LMHC, SUDP 103 E Holly St Ste 211, Bellingham, WA 98225-4728 Ph: (360) 920-5143 |
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: May Accept Medicare Assignments 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 |