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Addi Daisley

Counselor

Behavioral Health & Social Service Providers

10521 Meridian Ave N, Seattle, WA 98133-9509

PECOS Enrollment

Based on the most recent information from CMS, provider Addi Daisley is legally eligible to order and refer claims for Part B and DME services only.

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

CMS last updated its PECOS records 12 days ago.

Profile Details

Provider ID
1316597727
Provider Type
Individual
Full Name
Daisley, Addi
Gender
Female

Sole Proprietor
No
Enumeration Date
9/17/2019
Last Updated
9/17/2019

Contact Information

Practice Location

10521 Meridian Ave N, Seattle, WA 98133-9509

(253) 833-7444

Unlisted Fax

Mailing Location

325 W Gowe St, Kent, WA 98032-5892

(253) 833-7444

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Addi Daisley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lee, Autumn

Restrepo, Elyse H

Church, Craig

Kardokus, Connor

Barker, Maryann Elizabeth

Melson, Jeremy

Bechtel, David William

Brittle, Zach

Shaw, Hope Victoria

Ostadhaji, Donya