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NPI Code Detail

MEDICARE: MRS. LINDA ANN MANTZ-SIMMONS LMFT

MEDICARE: MRS. LINDA ANN MANTZ-SIMMONS LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLF60457989WA

General Provider Information

NPI Number : 1265561765
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA ANN MANTZ-SIMMONS LMFT
Provider Business Mailing Address
First Line : 43716 SE 149TH ST
Second Line :
City : NORTH BEND
State : WA
Zip : 98045-9322
Country : US
Telephone Number : 970-214-0997
Fax Number : 425-292-3551
Provider Business Practice Location Address
First Line : 6505 216TH ST SW STE 100
Second Line :
City : MOUNTLAKE TERRACE
State : WA
Zip : 98043-2089
Country : US
Telephone Number : 425-640-7009
Fax Number : 425-678-6455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 01/26/2023

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Directions to “ MRS. LINDA ANN MANTZ-SIMMONS LMFT” Practice Location

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