Individual ProviderMitzi KodishCounselorBehavioral Health & Social Service ProvidersPractice Address1530 S Union Ave, Suite 16, Tacoma, WA 98405-1954(253) 752-7320PECOS EnrollmentBased on the most recent information from CMS, provider Mitzi Kodish 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 ID1689674939Provider TypeIndividualFull NameKodish, MitziCredentialMA, LMHCGenderFemaleSole ProprietorNoEnumeration Date7/28/2005Last Updated12/28/2025Contact InformationPractice LocationPractice Address1530 S Union Ave, Suite 16, Tacoma, WA 98405-1954Phone(253) 752-7320Fax(253) 756-0427Mailing LocationMailing Address1530 S Union Ave, Suite 16, Tacoma, WA 98405-1954Phone(253) 752-7320Fax(253) 756-0427Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH00006041Washington