KEEP ON DANCING MENTAL HEALTH SERVICES LLC NPI 1184013161

NPI Information

NPI: 1184013161
Provider Name: KEEP ON DANCING MENTAL HEALTH SERVICES, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2722 COLBY AVE STE 328
EVERETT, WA
ZIP 98201
Phone: (425) 740-3600
Get Directions

KEEP ON DANCING MENTAL HEALTH SERVICES, LLC is a psychiatric/mental health nurse practitioner in Everett, WA. KEEP ON DANCING MENTAL HEALTH SERVICES, LLC NPI is 1184013161. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2722 COLBY AVE STE 328
EVERETT, WA
ZIP 98201
Phone: (425) 740-3600
Fax: (425) 740-3601

The provider's authorized official is Dessetta L Smith .
The authorized official title is Billing/office Mngr., Auth. Officia and has the following contact phone number (425) 740-3600.

The enumeration date for this NPI number is 1/14/2015 and was last updated on 9/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LW00009392	WASHINGTON	No
2	101YP2500X	Counselor	Professional	LW00009392	WASHINGTON	No
3	104100000X	Social Worker		LW00009392	WASHINGTON	No
4	1041C0700X	Social Worker	Clinical	LW00009392	WASHINGTON	No
5	106H00000X	Marriage & Family Therapist				No
6	163W00000X	Registered Nurse		RN00059378	WASHINGTON	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP30007518	WASHINGTON	No
8	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2054124	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »