| Nw Transformations Child And Family Counseling Pllc | |
|
6402 57th Ct Se Lacey WA 98513-4159 | |
| (360) 970-8356 | |
| (360) 539-3332 |
| Full Name | Nw Transformations Child And Family Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 6402 57th Ct Se, Lacey, Washington |
| Authorized Official Name and Position | Bonnie M Edwards (OWNER/MANAGER) |
| Authorized Official Contact | 3606349699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nw Transformations Child And Family Counseling Pllc 1420 Marvin Rd Ne Ste C Lacey WA 98516-3878 Ph: (360) 634-9699 | Nw Transformations Child And Family Counseling Pllc 6402 57th Ct Se Lacey WA 98513-4159 Ph: (360) 970-8356 |
| NPI Number | 1063023752 |
|---|---|
| Provider Enumeration Date | 08/14/2020 |
| Last Update Date | 01/25/2021 |
| Certification Date | 01/25/2021 |
| Medicare PECOS PAC ID | 2567882608 |
|---|---|
| Medicare Enrollment ID | O20201012001562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063023752 | NPI | - | NPPES |
| 1518347384 | Medicaid | WA |
| Provider Name | Bonnie Margaret Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518347384 PECOS PAC ID: 4789934308 Enrollment ID: I20180831001804 |
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