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NPI Code Detail

MEDICARE: THERAPEUTIC HEALTH SERVICES

MEDICARE: THERAPEUTIC HEALTH SERVICES
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
1261QM2800XMethadone Clinic17015800WA
2261QM0850XAdult Mental Health Clinic/Center032WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346497807
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPEUTIC HEALTH SERVICES
Provider Business Mailing Address
First Line : 5802 RAINIER AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98118-2706
Country : US
Telephone Number : 206-723-1980
Fax Number : 206-721-3930
Provider Business Practice Location Address
First Line : 1116 SUMMIT AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98101-2831
Country : US
Telephone Number : 206-323-0930
Fax Number : 206-323-3634
Authorized Official
Title or Position : BILLING MANAGER
Name : SEAN POTTER
Credential :
Telephone Number : 206-323-0930
Provider Enumeration Date : 08/26/2008
Last Update Date : 10/04/2023

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1992071054 — MR. ERIC RENE DANIELS I CDP
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Directions to “THERAPEUTIC HEALTH SERVICES ” Practice Location

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