| Lydia Place A Nonprofit Corporation | |
|
1430 North Garden Street Bellingham WA 98226 | |
| (360) 671-7663 | |
| (360) 933-9739 |
| Full Name | Lydia Place A Nonprofit Corporation |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1430 North Garden Street, Bellingham, Washington |
| Authorized Official Name and Position | Erin Smith (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3606717663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Place A Nonprofit Corporation Po Box 28487 Bellingham WA 98228 Ph: (360) 671-7663 | Lydia Place A Nonprofit Corporation 1430 North Garden Street Bellingham WA 98226 Ph: (360) 671-7663 |
| NPI Number | 1508342759 |
|---|---|
| Provider Enumeration Date | 07/11/2018 |
| Last Update Date | 03/24/2020 |
| Certification Date | 03/24/2020 |
| Medicare PECOS PAC ID | 9739516352 |
|---|---|
| Medicare Enrollment ID | O20200220001811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508342759 | NPI | - | NPPES |
| Provider Name | Erin P Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932461266 PECOS PAC ID: 0345677969 Enrollment ID: I20200404000297 |
| Provider Name | Holly Camille Martinsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710315601 PECOS PAC ID: 3274971932 Enrollment ID: I20240401003108 |
| Provider Name | Amanda A Doell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669109443 PECOS PAC ID: 3375088487 Enrollment ID: I20240712003582 |
| Provider Name | Tonani Mcbride |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992235162 PECOS PAC ID: 6103358981 Enrollment ID: I20241017002945 |
| Provider Name | Tristan Alexander Quan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639692387 PECOS PAC ID: 8426580937 Enrollment ID: I20241022000616 |
Nw Medical Psychology, Inc. Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3120 Squalicum Pkwy, Suite 2, Bellingham, WA 98225 Phone: 360-734-4046 Fax: 360-734-6727 | |
Henry S. Levine, M.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1326 E Laurel St, Bellingham, WA 98225 Phone: 360-671-0383 Fax: 360-756-8850 | |
Rehabilitation Psychology Services P S Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 801 Samish Way, Bellingham, WA 98229 Phone: 360-255-2505 Fax: 360-255-2504 | |
Center For The Psychology Of Women Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2623 Orleans St, Bellingham, WA 98226 Phone: 323-491-7737 | |
Aaron James Williams Licsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3031 Orleans St Ste 101, Bellingham, WA 98226 Phone: 831-204-8295 | |
Sea Mar Community Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3350 Airport Dr, Bellingham, WA 98226 Phone: 360-734-5458 Fax: 360-734-5298 | |
Mobile Mama Strategies, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 N Commercial St Ste 102, Bellingham, WA 98225 Phone: 360-393-5114 Fax: 360-733-1928 |