Heidi Weakley | Tacoma, WA • PECOS Search

Heidi Weakley

Counselor

Behavioral Health & Social Service Providers

1001 S Yakima Ave, Suite 5, Tacoma, WA 98405

PECOS Enrollment

Based on the most recent information from CMS, provider Heidi Weakley does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1669945911
Provider Type
Individual
Full Name
Weakley, Heidi
Credential
LMHCA

Gender
Female
Sole Proprietor
No
Enumeration Date
1/9/2019
Last Updated
1/9/2019

Contact Information

Practice Location

1001 S Yakima Ave, Suite 5, Tacoma, WA 98405

Unlisted Fax

Mailing Location

7914 N 10th St, Tacoma, WA 98406-1088

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 60911030 Washington