| Bene Therapy Pllc | |
|
2719 E Madison St Ste 200 Seattle WA 98112-4752 | |
| (206) 683-0707 | |
| (206) 299-0766 |
| Full Name | Bene Therapy Pllc |
|---|---|
| Speciality | Counselor |
| Location | 2719 E Madison St Ste 200, Seattle, Washington |
| Authorized Official Name and Position | Amanda Sue Moening (PEOPLE OPS AND DATA MANAGER) |
| Authorized Official Contact | 5673561646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bene Therapy Pllc 2719 E Madison St Ste 200 Seattle WA 98112-4752 Ph: (206) 683-0707 | Bene Therapy Pllc 2719 E Madison St Ste 200 Seattle WA 98112-4752 Ph: (206) 683-0707 |
| NPI Number | 1750934071 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Medicare PECOS PAC ID | 6709270341 |
|---|---|
| Medicare Enrollment ID | O20241028000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750934071 | NPI | - | NPPES |
| 2034686 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ralph A. Fragale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073781027 PECOS PAC ID: 4981098522 Enrollment ID: I20241028000848 |
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