Headspace Parking Lot Pllc | |
76 Sund Rd Elma WA 98541-9119 | |
(360) 929-0022 | |
Not Available |
Full Name | Headspace Parking Lot Pllc |
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Speciality | Community/behavioral Health |
Location | 76 Sund Rd, Elma, Washington |
Authorized Official Name and Position | Chrystal G Moore (PMHNP) |
Authorized Official Contact | 7573239104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Headspace Parking Lot Pllc 76 Sund Rd Elma WA 98541-9119 Ph: (360) 929-0022 | Headspace Parking Lot Pllc 76 Sund Rd Elma WA 98541-9119 Ph: (360) 929-0022 |
NPI Number | 1295417186 |
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Provider Enumeration Date | 08/01/2023 |
Last Update Date | 08/01/2023 |
Certification Date | 08/01/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295417186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Sea Mar Chc - Elma Mss Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 W Main St, Elma, WA 98541 Phone: 360-861-8710 Fax: 360-861-8717 | |
Behavioral Health Resources Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 E Main Street, Elma, WA 98541 Phone: 360-482-5358 Fax: 360-482-6256 |