| Twin Lakes Counseling | |
|
3430 Sw 320th St Federal Way WA 98023-2292 | |
| (253) 289-6099 | |
| (253) 330-8305 |
| Full Name | Twin Lakes Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 3430 Sw 320th St, Federal Way, Washington |
| Authorized Official Name and Position | Laura Beth Wallace (OWNER & CLINICAL DIRECTOR) |
| Authorized Official Contact | 2532896099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Lakes Counseling 3430 Sw 320th St Ste D-2 Federal Way WA 98023-2292 Ph: (253) 289-6099 | Twin Lakes Counseling 3430 Sw 320th St Federal Way WA 98023-2292 Ph: (253) 289-6099 |
| NPI Number | 1053828814 |
|---|---|
| Provider Enumeration Date | 01/02/2018 |
| Last Update Date | 07/19/2023 |
| Certification Date | 07/19/2023 |
| Medicare PECOS PAC ID | 3375988298 |
|---|---|
| Medicare Enrollment ID | O20240301002520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053828814 | NPI | - | NPPES |
| 1053828814 | Medicaid | WA |
| Provider Name | Laura Beth Wallace |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659515013 PECOS PAC ID: 9638514557 Enrollment ID: I20240301002575 |
| Provider Name | Haley Marie Alexander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528699022 PECOS PAC ID: 4587000815 Enrollment ID: I20240308003405 |
| Provider Name | Sharayah Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528479938 PECOS PAC ID: 1052757200 Enrollment ID: I20240309000774 |
| Provider Name | Talia Kuykendall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679018436 PECOS PAC ID: 0941646095 Enrollment ID: I20240311003841 |
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