| Karen Ni Llc | |
|
34 Dunbar Ct Port Ludlow WA 98365-9798 | |
| (907) 942-7613 | |
| Not Available |
| Full Name | Karen Ni Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 34 Dunbar Ct, Port Ludlow, Washington |
| Authorized Official Name and Position | Karen Ni (OWNER) |
| Authorized Official Contact | 9079427613 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Ni Llc 34 Dunbar Ct Port Ludlow WA 98365-9798 Ph: (907) 942-7613 | Karen Ni Llc 34 Dunbar Ct Port Ludlow WA 98365-9798 Ph: (907) 942-7613 |
| NPI Number | 1568163855 |
|---|---|
| Provider Enumeration Date | 03/14/2023 |
| Last Update Date | 09/06/2023 |
| Certification Date | 03/14/2023 |
| Medicare PECOS PAC ID | 9739544032 |
|---|---|
| Medicare Enrollment ID | O20230420000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568163855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Karen Ni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770781007 PECOS PAC ID: 0648439711 Enrollment ID: I20120308000464 |
Awakenings Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Ketch Ln, Port Ludlow, WA 98365 Phone: 503-575-0134 |