| Phase 3 Counseling & Consultation Pllc | |
|
2366 Eastlake Ave E Ste 312 Seattle WA 98102-3399 | |
| (206) 251-6359 | |
| Not Available |
| Full Name | Phase 3 Counseling & Consultation Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2366 Eastlake Ave E Ste 312, Seattle, Washington |
| Authorized Official Name and Position | Lynette Pang (OWNER) |
| Authorized Official Contact | 2062516359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phase 3 Counseling & Consultation Pllc 2366 Eastlake Ave E Ste 312 Seattle WA 98102-3399 Ph: (206) 251-6359 | Phase 3 Counseling & Consultation Pllc 2366 Eastlake Ave E Ste 312 Seattle WA 98102-3399 Ph: (206) 251-6359 |
| NPI Number | 1922874213 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Medicare PECOS PAC ID | 3476906975 |
|---|---|
| Medicare Enrollment ID | O20240131004557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922874213 | NPI | - | NPPES |
| Provider Name | Lynette Pang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295892032 PECOS PAC ID: 4385097880 Enrollment ID: I20240131004662 |
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