| Tree Of Life Therapy | |
|
14205 Se 36th St Ste 100 Bellevue WA 98006-1553 | |
| (216) 282-4749 | |
| Not Available |
| Full Name | Tree Of Life Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 14205 Se 36th St Ste 100, Bellevue, Washington |
| Authorized Official Name and Position | Tracy Hromadka (THERAPIST) |
| Authorized Official Contact | 2162824749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tree Of Life Therapy 1121 Harrison Ave # 1022 Centralia WA 98531-1852 Ph: (216) 282-4749 | Tree Of Life Therapy 14205 Se 36th St Ste 100 Bellevue WA 98006-1553 Ph: (216) 282-4749 |
| NPI Number | 1164167953 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 05/05/2022 |
| Certification Date | 05/05/2022 |
| Medicare PECOS PAC ID | 0042660748 |
|---|---|
| Medicare Enrollment ID | O20231221000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164167953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tracy Dawn Hromadka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740855295 PECOS PAC ID: 1254721392 Enrollment ID: I20231221000386 |
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