| Eastside Women's Counseling | |
|
1621 114th Ave Se Ste 224 Bellevue WA 98004-6905 | |
| (206) 507-0289 | |
| Not Available |
| Full Name | Eastside Women's Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1621 114th Ave Se Ste 224, Bellevue, Washington |
| Authorized Official Name and Position | Carla Munger (OWNER) |
| Authorized Official Contact | 4253500245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Women's Counseling 2425 84th Ave Se Mercer Island WA 98040-2223 Ph: (425) 350-0245 | Eastside Women's Counseling 1621 114th Ave Se Ste 224 Bellevue WA 98004-6905 Ph: (206) 507-0289 |
| NPI Number | 1780155416 |
|---|---|
| Provider Enumeration Date | 12/06/2018 |
| Last Update Date | 12/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780155416 | NPI | - | NPPES |
| 1518388230 | Other | NPPES | |
| MC60312903 | Other | WA | WA DEPT OF HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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