Tahtanka Bear Eagle MSW, LICSW

  • NPI 1215483821
According to our database, the NPI number for Tahtanka Bear Eagle MSW, LICSW is 1215483821 and activated since 7 years ago. Tahtanka Bear Eagle MSW, LICSW is an individual provider who specializes in Mental Health, and the primary practice location is 840 E Plum St, Moses Lake, WA 98837. You can also contact Tahtanka Bear Eagle MSW, LICSW via telephone number is (509) 765-9239. Provider NPI information was last updated on 01/07/2020.

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Overview of Tahtanka Bear Eagle MSW, LICSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/01/2016
  • Last updated: 01/07/2020

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: SC60137902
  • License State: WA

Provider Mailing Address

  • Address: Po Box 1057
    Moses Lake, WA 98837
  • Phone: 509-765-9239
  • Fax: 509-765-1582

Provider Practice Location

  • Address: 840 E Plum St
    Moses Lake, WA 98837
  • Phone: 509-765-9239
  • Fax: 509-633-2148

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: SC60137902
  • License State: WA
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 1044912
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Tahtanka Bear Eagle MSW, LICSW?
  • A: The npi number for Tahtanka Bear Eagle MSW, LICSW is 1215483821.
  • Q: What are Tahtanka Bear Eagle MSW, LICSW's specialties?
  • A: Tahtanka Bear Eagle MSW, LICSW's specialties are Mental Health and different specialities.
  • Q: What is the medical license for Tahtanka Bear Eagle MSW, LICSW?
  • A: The medical license number for Tahtanka Bear Eagle MSW, LICSW is SC60137902 and issued in WA in USA.
  • Q: Where is Tahtanka Bear Eagle MSW, LICSW practice location?
  • A: Tahtanka Bear Eagle MSW, LICSW is practicing at 840 E Plum St, Moses Lake, WA 98837.
  • Q: How to contact Tahtanka Bear Eagle MSW, LICSW?
  • A: You can contact Tahtanka Bear Eagle MSW, LICSW via 509-765-9239.