| Ms Lara K Symonds, MA, LMFT | |
|
2320 130th Ave Ne Ste 240, Bellevue, WA 98005-1718 | |
| (425) 646-2778 | |
| (425) 643-2778 |
| Full Name | Ms Lara K Symonds |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 2320 130th Ave Ne Ste 240, Bellevue, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205952264 | NPI | - | NPPES |
| 11644468 | Other | CAQH | |
| 60054 | Other | WA | AETNA PAYOR ID |
| 708715000 | Other | MN | MAGELLAN PROVIDER ID |
| 306139956 | Other | WA | UID |
| LWEED001 | Other | WA | ONE HEALTH PORT PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LF00001767 (Washington) | Primary |
| Entity Name | Optimallife Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851417810 PECOS PAC ID: 1456797398 Enrollment ID: O20240313002850 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lara K Symonds, MA, LMFT 2320 130th Ave Ne Ste 240, Bellevue, WA 98005-1718 Ph: (425) 646-2778 | Ms Lara K Symonds, MA, LMFT 2320 130th Ave Ne Ste 240, Bellevue, WA 98005-1718 Ph: (425) 646-2778 |
Andrew Ramsey, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1811 156th Ave Ne Ste 2, Bellevue, WA 98007 Phone: 425-460-7125 | |
Mrs. Afshan Nabi Ullah, MA, AAC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 14216 Ne 21st St, North Creek, Bellevue, WA 98007 Phone: 425-653-4900 Fax: 425-653-4910 | |
Amanda E True, LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4122 Factoria Blvd Se Ste 405, Bellevue, WA 98006 Phone: 425-590-9419 | |
Mrs. Shana Oconnor-wolf, MFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2320 130th Ave Ne, Bellevue, WA 98005 Phone: 425-646-2778 | |
Sophia Lust, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11711 Se 8th St, Suite 315, Bellevue, WA 98005 Phone: 425-998-7215 | |
Mr. Joseph Allen Shaub, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10940 Ne 33rd Pl, Suite 109, Bellevue, WA 98004 Phone: 206-587-0417 | |
Ms. Tina Marie Ensminger, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1400 112th Ave Se Ste 202, Bellevue, WA 98004 Phone: 206-650-0254 |