| Humanistic Therapy Nw | |
|
9240 Tacoma Ave S Tacoma WA 98444-6140 | |
| (253) 370-8980 | |
| (503) 966-0849 |
| Full Name | Humanistic Therapy Nw |
|---|---|
| Speciality | Social Worker |
| Location | 9240 Tacoma Ave S, Tacoma, Washington |
| Authorized Official Name and Position | Jeffrey Allen Kiilsgaard (OWNER) |
| Authorized Official Contact | 2533683255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humanistic Therapy Nw 9240 Tacoma Ave S Tacoma WA 98444-6140 Ph: (253) 368-3255 | Humanistic Therapy Nw 9240 Tacoma Ave S Tacoma WA 98444-6140 Ph: (253) 370-8980 |
| NPI Number | 1568211217 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 09/18/2025 |
| Certification Date | 09/18/2025 |
| Medicare PECOS PAC ID | 0547797144 |
|---|---|
| Medicare Enrollment ID | O20241220000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568211217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Jeffrey A Kiilsgaard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881074904 PECOS PAC ID: 9335508043 Enrollment ID: I20230628003404 |
| Provider Name | Olivia Miranda Aleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720299019 PECOS PAC ID: 5496107369 Enrollment ID: I20240116002874 |
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