| Laura Yen, Licsw | |
|
826 102nd Ave Ne Ste 300 Bellevue WA 98004-4158 | |
| (425) 870-7192 | |
| Not Available |
| Full Name | Laura Yen, Licsw |
|---|---|
| Speciality | Clinic/Center |
| Location | 826 102nd Ave Ne Ste 300, Bellevue, Washington |
| Authorized Official Name and Position | Laura Alisa Yen (OWNER) |
| Authorized Official Contact | 4258707192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Yen, Licsw 826 102nd Ave Ne Ste 300 Bellevue WA 98004-4158 Ph: (425) 870-7192 | Laura Yen, Licsw 826 102nd Ave Ne Ste 300 Bellevue WA 98004-4158 Ph: (425) 870-7192 |
| NPI Number | 1710400346 |
|---|---|
| Provider Enumeration Date | 07/25/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8921371113 |
|---|---|
| Medicare Enrollment ID | O20170911001303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710400346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | LW00004429 (Washington) | Primary |
| Provider Name | Laura A Yen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366728461 PECOS PAC ID: 5193792653 Enrollment ID: I20040914000536 |
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