| Premier Therapeutic Experience | |
|
1400 112th Ave Se Ste 100 Bellevue WA 98004-6901 | |
| (507) 254-7893 | |
| Not Available |
| Full Name | Premier Therapeutic Experience |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1400 112th Ave Se Ste 100, Bellevue, Washington |
| Authorized Official Name and Position | Heather Moir (MANAGER OF OPERATIONS) |
| Authorized Official Contact | 5072547893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Therapeutic Experience 3213 Harbor Ave Sw Unit 103 Seattle WA 98126-4600 Ph: (507) 254-7893 | Premier Therapeutic Experience 1400 112th Ave Se Ste 100 Bellevue WA 98004-6901 Ph: (507) 254-7893 |
| NPI Number | 1124503735 |
|---|---|
| Provider Enumeration Date | 09/28/2018 |
| Last Update Date | 09/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124503735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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