| Enrich Community Psychiatry Pllc | |
|
14821 18th Ave E Tacoma WA 98445-3477 | |
| (678) 777-9744 | |
| Not Available |
| Full Name | Enrich Community Psychiatry Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14821 18th Ave E, Tacoma, Washington |
| Authorized Official Name and Position | Lucy Waithaka (OWNER OF THE ENTITY) |
| Authorized Official Contact | 6787779744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enrich Community Psychiatry Pllc 14821 18th Ave E Tacoma WA 98445-3477 Ph: (678) 777-9744 | Enrich Community Psychiatry Pllc 14821 18th Ave E Tacoma WA 98445-3477 Ph: (678) 777-9744 |
| NPI Number | 1588432918 |
|---|---|
| Provider Enumeration Date | 12/14/2023 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Medicare PECOS PAC ID | 9537505235 |
|---|---|
| Medicare Enrollment ID | O20240315000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588432918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lucy Waithaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992217822 PECOS PAC ID: 6103185988 Enrollment ID: I20221221002906 |
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