Individual ProviderRoberta J De VitisCounselorBehavioral Health & Social Service ProvidersPractice Address727 N 182nd St, Suite 202, Shoreline, WA 98133-4402(206) 412-8943PECOS EnrollmentBased on the most recent information from CMS, provider Roberta J De Vitis 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 2 days ago.Profile DetailsProvider ID1437376290Provider TypeIndividualFull NameDe Vitis, Roberta JCredentialLMHCGenderFemaleSole ProprietorYesEnumeration Date4/20/2007Last Updated4/10/2024Contact InformationPractice LocationPractice Address727 N 182nd St, Suite 202, Shoreline, WA 98133-4402Phone(206) 412-8943Fax(206) 542-5235Mailing LocationMailing Address14041 25th Ave NE, Seattle, WA 98125-3411Phone(206) 412-8943Fax(206) 542-5235Provider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH00003452Washington