| Living Sound Therapeutic Services, Pllc | |
|
729 Devoe St Se Olympia WA 98501 | |
| (253) 223-7155 | |
| Not Available |
| Full Name | Living Sound Therapeutic Services, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 729 Devoe St Se, Olympia, Washington |
| Authorized Official Name and Position | April Lee (OWNER/PROVIDER) |
| Authorized Official Contact | 2532237155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Sound Therapeutic Services, Pllc Po Box 8748 Lacey WA 98509-8748 Ph: () - | Living Sound Therapeutic Services, Pllc 729 Devoe St Se Olympia WA 98501 Ph: (253) 223-7155 |
| NPI Number | 1134768799 |
|---|---|
| Provider Enumeration Date | 12/31/2019 |
| Last Update Date | 12/31/2019 |
| Certification Date | 12/31/2019 |
| Medicare PECOS PAC ID | 1052846854 |
|---|---|
| Medicare Enrollment ID | O20241202003314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134768799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Stephanie P Ashley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407322498 PECOS PAC ID: 3870028913 Enrollment ID: I20241126000980 |
| Provider Name | Samantha M Deaton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194125179 PECOS PAC ID: 1557896693 Enrollment ID: I20241126001139 |
| Provider Name | Renee D Newton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609231547 PECOS PAC ID: 8426583576 Enrollment ID: I20241126001321 |
| Provider Name | April Marie Lee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770623316 PECOS PAC ID: 2961937768 Enrollment ID: I20250103001698 |
| Provider Name | Jennifer L Davenport |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922230242 PECOS PAC ID: 7719416445 Enrollment ID: I20250125000143 |
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