| Kyeisha Hodge, Llc | |
|
1903 Ne 85th St Apt 405 Seattle WA 98115-8203 | |
| (205) 775-0502 | |
| Not Available |
| Full Name | Kyeisha Hodge, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1903 Ne 85th St, Seattle, Washington |
| Authorized Official Name and Position | Kyeisha Ebony Hodge (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 2057740502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyeisha Hodge, Llc 1903 Ne 85th St Apt 405 Seattle WA 98115-8203 Ph: () - | Kyeisha Hodge, Llc 1903 Ne 85th St Apt 405 Seattle WA 98115-8203 Ph: (205) 775-0502 |
| NPI Number | 1619340445 |
|---|---|
| Provider Enumeration Date | 11/02/2015 |
| Last Update Date | 11/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619340445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MC60507339 (Washington) | Primary |
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