Tahtanka Bear Eagle
MSW, LICSW | Mental Health Counselor
840 E Plum St, Moses Lake
Washington, 98837-1874
509-765-9239 509-633-2148
Maps & DirectionsTahtanka Bear Eagle is a Moses Lake, Washington based counselor who is specialized as Mental Health Counselor. Active license number of Tahtanka Bear Eagle is LW60717495 for Social Worker in Washington. His current practice location is 840 E Plum St, Moses Lake. Patients can book an appointment with him at 509-765-9239.
Tahtanka Bear Eagle is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Tahtanka Bear Eagle speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Tahtanka Bear Eagle |
| Specialization: | Mental Health Counselor |
| Gender: | Male |
| Credentials: | MSW, LICSW |
| Accepts Medicare Assignment: | No |
| Practice Address: | 840 E Plum St, Moses Lake, Washington, 98837-1874 |
| Phone: | 509-765-9239 |
| Fax: | 509-633-2148 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1215483821 |
| NPI Enumeration Date: | 01 Sep, 2016 |
| NPI Last Update On: | 07 Jan, 2020 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tahtanka Bear Eagle are as mentioned below.
| License Number | Specialization | State | Status | |
| LW60717495 | Social Worker | Washington | Primary | |
| SC60137902 | Mental Health Counselor | Washington | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Tahtanka Bear Eagle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1044912 | Medicaid | Washington | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 1057, Moses Lake, Washington |
| Zip: | 98837-0160 |
| Phone Number: | 509-765-9239 |
| Fax Number: | 509-765-1582 |
Patients can reach Tahtanka Bear Eagle at
840 E Plum St, Moses Lake, Washington or can
call to book an appointment on 509-765-9239.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.