| Heart & Healing Psychiatry Ps | |
|
6100 219th St Sw Ste 480 Mountlake Terrace WA 98043-2222 | |
| (206) 457-6672 | |
| Not Available |
| Full Name | Heart & Healing Psychiatry Ps |
|---|---|
| Speciality | Clinic/Center |
| Location | 6100 219th St Sw Ste 480, Mountlake Terrace, Washington |
| Authorized Official Name and Position | Tamra Kathleen Dillon (PSYCHIATRIC NP/OWNER) |
| Authorized Official Contact | 2064576672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart & Healing Psychiatry Ps 6100 219th St Sw Mountlake Terrace WA 98043-2222 Ph: (206) 457-6672 | Heart & Healing Psychiatry Ps 6100 219th St Sw Ste 480 Mountlake Terrace WA 98043-2222 Ph: (206) 457-6672 |
| NPI Number | 1508609785 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 12/27/2024 |
| Certification Date | 12/27/2024 |
| Medicare PECOS PAC ID | 5799214862 |
|---|---|
| Medicare Enrollment ID | O20250120000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508609785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tamra Kathleen Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497378657 PECOS PAC ID: 6608296926 Enrollment ID: I20201026001204 |
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