| Sonya's Private Practice Pllc | |
|
16010 Se 250th Ct Covington WA 98042-4168 | |
| (253) 951-1872 | |
| Not Available |
| Full Name | Sonya's Private Practice Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 16010 Se 250th Ct, Covington, Washington |
| Authorized Official Name and Position | Sonya Harkins (OWNER) |
| Authorized Official Contact | 2539511872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonya's Private Practice Pllc 16010 Se 250th Ct Covington WA 98042-4168 Ph: (253) 951-1872 | Sonya's Private Practice Pllc 16010 Se 250th Ct Covington WA 98042-4168 Ph: (253) 951-1872 |
| NPI Number | 1336893296 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 06/06/2022 |
| Certification Date | 06/06/2022 |
| Medicare PECOS PAC ID | 8022498088 |
|---|---|
| Medicare Enrollment ID | O20220707003681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336893296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sonya Harkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164783114 PECOS PAC ID: 8527038850 Enrollment ID: I20120730000323 |
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