| Ideal Mental Health And Wellness Care, Llc. | |
|
2815 Elliott Ave Suite 100 Seattle WA 98121 | |
| (888) 599-4554 | |
| (206) 331-3189 |
| Full Name | Ideal Mental Health And Wellness Care, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2815 Elliott Ave, Seattle, Washington |
| Authorized Official Name and Position | Davieca D Singh (PRESIDENT) |
| Authorized Official Contact | 3212319120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Mental Health And Wellness Care, Llc. 2815 Elliott Ave Ste 100 Seattle WA 98121-2991 Ph: (888) 599-4554 | Ideal Mental Health And Wellness Care, Llc. 2815 Elliott Ave Suite 100 Seattle WA 98121 Ph: (888) 599-4554 |
| NPI Number | 1063036770 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/18/2024 |
| Medicare PECOS PAC ID | 2163812694 |
|---|---|
| Medicare Enrollment ID | O20211124000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063036770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Davieca Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164973079 PECOS PAC ID: 0446520928 Enrollment ID: I20201026000208 |
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