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Keayandra King

Counselor

Behavioral Health & Social Service Providers

10700 Meridian Ave N, Seattle, WA 98133-9008

(206) 461-4544 (206) 901-2041

PECOS Enrollment

Based on the most recent information from CMS, provider Keayandra King 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 11 days ago.

Profile Details

Provider ID
1700369063
Provider Type
Individual
Full Name
King, Keayandra
Gender
Female

Sole Proprietor
No
Enumeration Date
9/12/2018
Last Updated
7/22/2021

Contact Information

Practice Location

10700 Meridian Ave N, Seattle, WA 98133-9008

(206) 461-4544

Unlisted Fax

Mailing Location

6400 Southcenter Blvd, Tukwila, WA 98188-2547

(206) 901-2041

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 106S00000X	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer

Keayandra King

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Buckler, Eric

Doney, Naomi Faye

Carter, Elizabeth Ann

Kifle, Menbere

Sanmugam, Kalpana V

Galindo, Floriberto

Lee, Autumn

Cantrell, Ann C

Doyle, Abigail

Chester, Morgan