| Generations Of Healing Llc | |
|
1701 E Evergreen Blvd Vancouver WA 98661-4289 | |
| (360) 281-3114 | |
| (844) 400-6494 |
| Full Name | Generations Of Healing Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1701 E Evergreen Blvd, Vancouver, Washington |
| Authorized Official Name and Position | Lea Ann Holder (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3602813114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Of Healing Llc 8601 Ne Sunnyside Dr Vancouver WA 98662-2854 Ph: (360) 281-3114 | Generations Of Healing Llc 1701 E Evergreen Blvd Vancouver WA 98661-4289 Ph: (360) 281-3114 |
| NPI Number | 1073083804 |
|---|---|
| Provider Enumeration Date | 12/05/2018 |
| Last Update Date | 12/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073083804 | NPI | - | NPPES |
| 2095374 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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