| Behavioral Healthcare Inc. | |
|
804 Levee St Hoquiam WA 98550-2527 | |
| (360) 532-0060 | |
| (360) 532-0061 |
| Full Name | Behavioral Healthcare Inc. |
|---|---|
| Speciality | Registered Nurse |
| Location | 804 Levee St, Hoquiam, Washington |
| Authorized Official Name and Position | Kate Teague (COORDINATOR) |
| Authorized Official Contact | 3605320060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Healthcare Inc. 804 Levee St Hoquiam WA 98550-2527 Ph: (360) 532-0060 | Behavioral Healthcare Inc. 804 Levee St Hoquiam WA 98550-2527 Ph: (360) 532-0060 |
| NPI Number | 1659914000 |
|---|---|
| Provider Enumeration Date | 10/17/2019 |
| Last Update Date | 12/01/2022 |
| Certification Date | 12/01/2022 |
| Medicare PECOS PAC ID | 7719304203 |
|---|---|
| Medicare Enrollment ID | O20201102000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659914000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Monty L Meier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043231590 PECOS PAC ID: 2567480296 Enrollment ID: I20051110000501 |
| Provider Name | Susannah E David |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487738712 PECOS PAC ID: 8628076072 Enrollment ID: I20061117000387 |
| Provider Name | Victoria A Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447219779 PECOS PAC ID: 6002878089 Enrollment ID: I20120509000101 |
| Provider Name | Richard P Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457761314 PECOS PAC ID: 5991921116 Enrollment ID: I20140724001488 |
| Provider Name | Edward Charles Herman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003278755 PECOS PAC ID: 2567740889 Enrollment ID: I20161020001326 |
| Provider Name | Matthew Allen Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801324991 PECOS PAC ID: 6800162421 Enrollment ID: I20171026003118 |
| Provider Name | Thomas E Martin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093847915 PECOS PAC ID: 4284874447 Enrollment ID: I20191108000538 |
| Provider Name | Edward J Wilfong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215386248 PECOS PAC ID: 9032478680 Enrollment ID: I20210907003248 |
| Provider Name | Gabrielle F Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568171171 PECOS PAC ID: 6709258072 Enrollment ID: I20230214003183 |
| Provider Name | Barbara A Graisy Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851812812 PECOS PAC ID: 0749653996 Enrollment ID: I20230308002947 |
| Provider Name | Sally D Walton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043545734 PECOS PAC ID: 6406208347 Enrollment ID: I20240117000366 |
| Provider Name | Jack W Luadzers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992921712 PECOS PAC ID: 5092168203 Enrollment ID: I20240124001358 |
| Provider Name | Vanessa Diaz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871000422 PECOS PAC ID: 9032553029 Enrollment ID: I20240218000085 |
| Provider Name | David W Delimont |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043757065 PECOS PAC ID: 7214372143 Enrollment ID: I20240229003797 |
Evergreen Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 8th St, Hoquiam, WA 98550 Phone: 360-538-9227 Fax: 360-532-8786 | |
Wholistic Help And Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Simpson Ave, Hoquiam, WA 98550 Phone: 360-500-0078 | |
Behavioral Health Resources Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 8th St, Hoquiam, WA 98550 Phone: 360-704-7170 Fax: 360-709-4374 |