Individual ProviderMeredith DeatonCounselorBehavioral Health & Social Service ProvidersPractice Address1653 Huson Dr, Tacoma, WA 98405-1155(206) 354-5193PECOS EnrollmentBased on the most recent information from CMS, provider Meredith Deaton does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1063123297Provider TypeIndividualFull NameDeaton, MeredithCredentialLICSWGenderFemaleSole ProprietorYesEnumeration Date12/8/2022Last Updated12/8/2022Contact InformationPractice LocationPractice Address1653 Huson Dr, Tacoma, WA 98405-1155Phone(206) 354-5193FaxUnlisted FaxMailing LocationMailing Address1653 Huson Dr, Tacoma, WA 98405-1155Phone(206) 354-5193FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLW60427082Washington