INDIGO MENTAL HEALTH PLLC NPI 1578963732

NPI Information

NPI: 1578963732
Provider Name: INDIGO MENTAL HEALTH PLLC

Doing Business As: INDIGO MENTAL HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
901 BOREN AVE
SUITE 1300
SEATTLE, WA
ZIP 98104
Phone: (206) 801-3555
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INDIGO MENTAL HEALTH PLLC is a mental health (including community mental health center) clinic center in Seattle, WA. INDIGO MENTAL HEALTH PLLC NPI is 1578963732. The provider is registered as an organization entity type.
The provider Is Doing Business As Indigo Mental Health.

The provider's business location address is:

901 BOREN AVE
SUITE 1300
SEATTLE, WA
ZIP 98104-595
Phone: (206) 801-3555

The provider's authorized official is Ismael E Gerena .
The authorized official title is Member and has the following contact phone number (425) 591-2963.

The enumeration date for this NPI number is 8/25/2014 and was last updated on 8/25/2014.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	603393215	WASHINGTON	Yes

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

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