| Brown Sugar Health Llc | |
|
7500 Banner Way Ne Seattle WA 98115-4176 | |
| (318) 642-4909 | |
| Not Available |
| Full Name | Brown Sugar Health Llc |
|---|---|
| Speciality | Clinic/center - Medical Specialty |
| Location | 7500 Banner Way Ne, Seattle, Washington |
| Authorized Official Name and Position | Derrick Wayne Smith (CEO) |
| Authorized Official Contact | 8185157991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brown Sugar Health Llc 507 Brompton Ln Bossier City LA 71111-8208 Ph: (818) 515-7991 | Brown Sugar Health Llc 7500 Banner Way Ne Seattle WA 98115-4176 Ph: (318) 642-4909 |
| NPI Number | 1013732940 |
|---|---|
| Provider Enumeration Date | 11/15/2024 |
| Last Update Date | 11/15/2024 |
| Certification Date | 11/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013732940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
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