MICHELLE MONG (NPI# 1083891204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083891204 |
| Entity Type | Individual |
| Full Name | MICHELLE MONG |
| Practice Address |
27121 174th Pl Se Ste 101 Covington WA 98042-4939 |
| Mailing Address |
17801 Se 259th Pl Covington WA 98042-8379 |
| Practice Telephone | 2533473343 |
| Practice Fax Number | 2536387465 |
| Mailing Telephone | (253) 347-3343 |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LF00001859 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 05043 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 232 2nd Ave S Ste 201, Kent, WA 980325862 | 2538590300 | 2538590745 |
| Street Address |
27121 174TH PL SE STE 101 |
| City | COVINGTON |
| State | WA |
| Zip Code | 98042-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801305297 | Michelle Mong Ma Lmft LLC | Community/Behavioral Health | 27121 174th Pl Se Ste 101, Covington, WA 98042-4939 | 2017-09-28 |
| 1679915789 | Perry Sage | Marriage & Family Therapist | 27121 174th Pl Se Ste 101, Covington, WA 98042-4939 | 2013-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
| 1417416678 | Anatoliy Voznyarskiy | Behavior Technician | 27023 164th. Ave Se, Covington, WA 98042 | 2019-03-18 |
| 1639693393 | Michele Shilley | Registered Nurse | 24519 185th Pl Se, Covington, WA 98042 | 2017-08-02 |
| 1104281526 | Kimberly Destefano | Licensed Practical Nurse | 27446 151st Pl Se, Kent, WA 98042 | 2015-12-30 |
| 1508243403 | Dora Arralde | Registered Nurse | 14620 S.e. 244th St, Kent, WA 98042 | 2015-04-29 |
| 1609299486 | Mei Ing Yau | Registered Nurse | 14311 Se 243rd St, Kent, WA 98042 | 2014-01-29 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| 1326327073 | Julie A Taylor | Occupational Therapy Assistant | 15630 Se 262nd Pl, Covington, WA 98042 | 2011-08-12 |
| 1720380397 | Blanka Karasek | Pharmacist | 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 | 2010-12-02 |
| Find all providers in zip 98042 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770105587 | Atk Marriage and Family Coaching, LLC | Marriage & Family Therapist | 8218 Hazelbrand Rd Ne Ste A, Covington, GA 30014-1516 | 2020-05-14 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1982769139 | Phyllis A Williams | Marriage & Family Therapist | 26025 162nd Ave Se, Covington, WA 98042-8275 | 2006-12-27 |
| 1740205319 | Carolyn E Burns | Marriage & Family Therapist | 215 N Vermont St, Covington, LA 70433 | 2006-07-13 |
| 1851940860 | Brett Busby | Marriage & Family Therapist | 71338 Highway 21, Covington, LA 70433-7162 | 2019-09-11 |
| 1952950024 | Elizabeth Renee Kennedy | Marriage & Family Therapist | 71338 Highway 21, Covington, LA 70433-7162 | 2019-09-10 |
| 1831682020 | Angellica Marie Wentworth | Marriage & Family Therapist | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2018-06-12 |
| 1679936371 | Grace De Souza | Marriage & Family Therapist | 60 Louis Prima Dr Ste A, Covington, LA 70433-5903 | 2016-03-30 |
| 1477930550 | Danielle Crotty | Marriage & Family Therapist | 513 Madison Ave, Covington, KY 41011-1562 | 2015-04-28 |
| 1679915789 | Perry Sage | Marriage & Family Therapist | 27121 174th Pl Se Ste 101, Covington, WA 98042-4939 | 2013-07-18 |
| Find all providers in COVINGTON | ||||
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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.