| Blue Leaf Mental Wellness Center | |
|
800 Officers Row Ste D Vancouver WA 98661-3847 | |
| (360) 904-1008 | |
| Not Available |
| Full Name | Blue Leaf Mental Wellness Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 800 Officers Row Ste D, Vancouver, Washington |
| Authorized Official Name and Position | Tara Z May (OWNER) |
| Authorized Official Contact | 3609041008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Leaf Mental Wellness Center 800 Officers Row Ste D Vancouver WA 98661-3847 Ph: (360) 904-1008 | Blue Leaf Mental Wellness Center 800 Officers Row Ste D Vancouver WA 98661-3847 Ph: (360) 904-1008 |
| NPI Number | 1558873729 |
|---|---|
| Provider Enumeration Date | 10/28/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558873729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | PY60230506 (Washington) | Primary |
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