Organization
HEAVENSFIELD GROUP, LLC
Active
Organization
HEAVENSFIELD GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COSETTE D RAE MSW, LSWAIC (CLINICAL DIRECTOR)
(425) 417-0406
Entity
Organization
Contact information
Practice address
1001 290TH AVE SE, FALL CITY, WA 98024-7403
(425) 222-3706
(888) 788-3419
Mailing address
1001 290TH AVE SE, FALL CITY, WA 98024-7403
(425) 222-3706
(888) 788-3419
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00003472
WA
1041C0700X
Clinical Social Worker
Primary
SC60106047
WA
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up