PACIFIC MENTAL HEALTH LLC NPI 1255987368

NPI Information

NPI: 1255987368
Provider Name: PACIFIC MENTAL HEALTH LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 50D2198684

Address:
5108 196TH ST SW STE 350
LYNNWOOD, WA
ZIP 98036
Phone: (425) 582-2041
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PACIFIC MENTAL HEALTH LLC is a mental health counselor in Lynnwood, WA. PACIFIC MENTAL HEALTH LLC NPI is 1255987368. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5108 196TH ST SW STE 350
LYNNWOOD, WA
ZIP 98036-169
Phone: (425) 582-2041

The provider's authorized official is Jeffery Goff .
The authorized official title is Officer and has the following contact phone number (206) 427-9796.

The CLIA number assigned to this NPI record is 50D2198684 - other - clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2019 and was last updated on 8/14/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			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: 5/5/2024

NPI Synchronization or Removal

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