TWIN LAKES COUNSELING, PLLC (NPI# 1053828814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053828814 |
| Entity Type | Organization |
| Organization Name | TWIN LAKES COUNSELING, PLLC |
| Other Organization Name | TWIN LAKES COUNSELING |
| Practice Address |
3430 Sw 320th St Federal Way WA 98023-2292 |
| Mailing Address |
3430 Sw 320th St Ste D-2 Federal Way WA 98023-2292 |
| Practice Telephone | 2532896099 |
| Practice Fax Number | 2533308305 |
| Mailing Telephone | 2532896099 |
| Mailing Fax Number | 2532317251 |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | LAURA BETH WALLACE (CLINICAL DIRECTORY/OWNER) |
| Authorized Official Telephone | 2532896099 |
| Authorized Official Credential | PHD, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
WA | Behavioral Health & Social Service Providers | |
| N | 106H00000X | Marriage & Family Therapist | WA | Behavioral Health & Social Service Providers | |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1053828814 | 05 |
| Other Name | Type Code |
|---|---|
| Twin Lakes Counseling | Doing Business As Name - Organization |
| Street Address |
3430 SW 320TH ST |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98023-2292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235426 | Elise M Hebert | Marriage & Family Therapist | 3430 Sw 320th St, Federal Way, WA 98023-2292 | 2020-08-11 |
| 1336759893 | Sheaunna Camille Guary | Counselor | 3430 Sw 320th St, Federal Way, WA 98023-2292 | 2020-08-08 |
| 1497365035 | Adelina Thomas | Marriage & Family Therapist | 3430 Sw 320th St, Federal Way, WA 98023-2292 | 2020-08-07 |
| 1447870571 | Kyle Anderson | Counselor | 3430 Sw 320th St, Federal Way, WA 98023-2292 | 2020-04-18 |
| 1417414475 | Amanda Christianna Brant | Counselor | 3430 Sw 320th St, Federal Way, WA 98023-2292 | 2019-02-26 |
| 1356805063 | Cody Moberg | Marriage & Family Therapist | 3430 Sw 320th St, Federal Way, WA 98023-2292 | 2019-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093908 | Marlene Dawson | Technician | 33228 37th Place S.w., Federal Way, WA 98023 | 2019-09-25 |
| 1861994956 | Allen Abelgas Schimke | Registered Nurse | 1300 Sw Campus Drive Unit 38-4, Federal Way, WA 98023 | 2018-03-05 |
| 1568981298 | Hau Thi-le Vu | Dental Hygienist | 31174 2nd Pl Sw, Federal Way, WA 98023 | 2017-09-13 |
| 1700309416 | Jennifer Lynn Cha | Physician Assistant | 820 Sw 341st St., Federal Way, WA 98023 | 2017-07-25 |
| 1205373958 | Irina Poiata | Reflexologist | 1900 Sw Campus De Apt 15- 303, Federal Way, WA 98023 | 2017-01-19 |
| 1194275800 | Cynthia Marcellus | Counselor | 4523 Federal Ave, Everett, WA 98023 | 2016-10-05 |
| 1023441383 | Samantha Anne Larson | Pharmacist | 1300 Sw Campus Drive Apt 4-4, Federal Way, WA 98023 | 2013-08-09 |
| 1609149079 | Stacey Lee Beilke | Massage Therapist | 215 Sw 319th Lane, Apt L204, Federal Way, WA 98023 | 2012-02-16 |
| 1336456110 | Elweda Silva | General Acute Care Hospital | 31054 1st Pl Sw, Federal Way, WA 98023 | 2010-09-01 |
| 1114168739 | Aleksandra Starikov | Mechanotherapist | 34425 16th Ave Sw, Federal Way, WA 98023 | 2009-03-11 |
| Find all providers in zip 98023 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669615449 | Institute for Family Development | Clinic/Center | 34004 16th Ave S Ste 200, Federal Way, WA 98003-8951 | 2009-04-09 |
| 1932602463 | Matina Hawkins Counseling, Pllc | Clinic/Center | 31919 1st Ave S Ste 203, Federal Way, WA 98003-5229 | 2018-03-11 |
| 1023550613 | Sea Mar Community Health Centers | Clinic/Center | 31405 18th Ave S, Federal Way, WA 98003-5433 | 2016-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271223 | Christy Webster Legler, Pmhnp-bc, Pllc | Clinic/Center | 608 S G St, Tacoma, WA 98405-4625 | 2020-10-07 |
| 1447866496 | Rogers Behavioral Health - Washington Inc | Clinic/Center | 1215 114th Ave Se, Bellevue, WA 98004-6929 | 2020-09-16 |
| 1730794421 | Reflect | Clinic/Center | 308 E Republican St Apt 701, Seattle, WA 98102-6804 | 2020-09-10 |
| 1588278394 | Makenzie Muilenburg Counseling | Clinic/Center | 271 Ne 45th St, Seattle, WA 98105-6147 | 2020-08-31 |
| 1477163160 | Columbia Valley Community Health | Clinic/Center | 504 Orondo Ave Ste A, Wenatchee, WA 98801-2830 | 2020-08-06 |
| 1972113165 | Hanmin Corporation | Clinic/Center | 4060 138th Ave Se, Bellevue, WA 98006-1431 | 2020-08-03 |
| 1801405642 | United Early Learning & Family Center LLC | Clinic/Center | 106 N Elm St, Grandview, WA 98930-1009 | 2020-07-28 |
| 1972111201 | Core Psychology Group Pllc | Clinic/Center | 6325 17th Ave Nw, Seattle, WA 98107-2320 | 2020-07-22 |
| 1114535853 | Behind The Mask Therapy | Clinic/Center | 1908 Nw 4th Ave, Battle Ground, WA 98604-6823 | 2020-07-20 |
| 1386262376 | Everwell Counseling Pllc | Clinic/Center | 306 E 18th Ave, Spokane, WA 99203-2217 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | FEDERAL WAY |
| Zip Code | 98023 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.