Tahtanka 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. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.