| Simply Thrive Psychotherapy Pllc | |
|
418 Carpenter Rd Se Ste 203 Lacey WA 98503-7905 | |
| (360) 878-9526 | |
| (888) 223-8248 |
| Full Name | Simply Thrive Psychotherapy Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 418 Carpenter Rd Se Ste 203, Lacey, Washington |
| Authorized Official Name and Position | Nichole Seymanski (DOCTOR/OWNER) |
| Authorized Official Contact | 3608789526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simply Thrive Psychotherapy Pllc 418 Carpenter Rd Se Ste 203 Lacey WA 98503-7905 Ph: (360) 878-9526 | Simply Thrive Psychotherapy Pllc 418 Carpenter Rd Se Ste 203 Lacey WA 98503-7905 Ph: (360) 878-9526 |
| NPI Number | 1528472370 |
|---|---|
| Provider Enumeration Date | 06/19/2014 |
| Last Update Date | 01/21/2020 |
| Certification Date | 01/21/2020 |
| Medicare PECOS PAC ID | 3072730175 |
|---|---|
| Medicare Enrollment ID | O20140813002939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528472370 | NPI | - | NPPES |
| Provider Name | Rachelle C Langhofer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437486396 PECOS PAC ID: 7416098884 Enrollment ID: I20100107000166 |
| Provider Name | Nichole M Seymanski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457681223 PECOS PAC ID: 0941344998 Enrollment ID: I20100215000624 |
| Provider Name | Jessica G Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811426521 PECOS PAC ID: 7517239742 Enrollment ID: I20170822003055 |
| Provider Name | Denise M Haselwood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548727324 PECOS PAC ID: 5092057216 Enrollment ID: I20190508001161 |
| Provider Name | Gordon J Retterath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790871572 PECOS PAC ID: 3870928385 Enrollment ID: I20200127000691 |
| Provider Name | Erik J Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851674667 PECOS PAC ID: 8527363498 Enrollment ID: I20201106002361 |
| Provider Name | Mandie R Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205407376 PECOS PAC ID: 5496153710 Enrollment ID: I20211018000411 |
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