MERCEDES ALICE ARNP LLC NPI 1114571643

NPI Information

  • NPI: 1114571643
  • Provider Name: MERCEDES ALICE, ARNP, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: EBB AND FLOW MENTAL HEALTH
  • Address: 18208 66TH AVE NE STE 201
    KENMORE, WA
    ZIP 98028
  • Phone: (425) 814-2045

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NPI Details

MERCEDES ALICE, ARNP, LLC is a mental health (including community mental health center) clinic center in Kenmore, WA. MERCEDES ALICE, ARNP, LLC NPI is 1114571643. The provider is registered as an organization entity type.
The provider Is Doing Business As Ebb And Flow Mental Health.

The provider's business location address is:

18208 66TH AVE NE STE 201
KENMORE, WA
ZIP 98028-949
Phone: (425) 814-2045
Fax: (425) 814-2783

The provider's authorized official is Mercedes Marie Alice .
The authorized official title is Owner and has the following contact phone number (425) 615-6696.

The enumeration date for this NPI number is 8/1/2019 and was last updated on 7/31/2024.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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
12085918MEDICAIDWASHINGTON

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: 11/21/2025

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