| Northwest Therapy Group Pllc | |
|
8284 28th Ct Ne Ste A Lacey WA 98516-7161 | |
| (360) 915-3221 | |
| (360) 890-4099 |
| Full Name | Northwest Therapy Group Pllc |
|---|---|
| Speciality | Counselor |
| Location | 8284 28th Ct Ne Ste A, Lacey, Washington |
| Authorized Official Name and Position | Dione Laguana (CO-FOUNDER) |
| Authorized Official Contact | 3604021962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Therapy Group Pllc 8284 28th Ct Ne Ste A Lacey WA 98516-7161 Ph: (360) 915-3221 | Northwest Therapy Group Pllc 8284 28th Ct Ne Ste A Lacey WA 98516-7161 Ph: (360) 915-3221 |
| NPI Number | 1497372460 |
|---|---|
| Provider Enumeration Date | 06/25/2020 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 1850735614 |
|---|---|
| Medicare Enrollment ID | O20240220002770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497372460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Dione Marie Inocentes Laguana |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215112461 PECOS PAC ID: 4587008347 Enrollment ID: I20240226003597 |
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