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BALLARD AVENUE PSYCHIATRY PLLC NPI 1720620644


NPI Information

NPI: 1720620644
Provider Name: BALLARD AVENUE PSYCHIATRY PLLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
5306 BALLARD AVE NW STE 317
SEATTLE, WA
ZIP 98107
Phone: (206) 455-9008
Get Directions

BALLARD AVENUE PSYCHIATRY PLLC is an adult mental health clinic center in Seattle, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. BALLARD AVENUE PSYCHIATRY PLLC NPI is 1720620644. The provider is registered as an organization entity type.

The provider's business location address is:

5306 BALLARD AVE NW STE 317
SEATTLE, WA
ZIP 98107-366
Phone: (206) 455-9008
Fax: (437) 537-5124

The provider's authorized official is Mary Lang-furr .
The authorized official title is Owner/psychiatrist and has the following contact phone number (206) 455-9008.

The enumeration date for this NPI number is 10/11/2019 and was last updated on 10/11/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthYes

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

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