| New Growth Behavioral Health Services, Ps | |
|
221 E 11th St Port Angeles WA 98362-7835 | |
| (360) 670-2336 | |
| Not Available |
| Full Name | New Growth Behavioral Health Services, Ps |
|---|---|
| Speciality | Counselor |
| Location | 221 E 11th St, Port Angeles, Washington |
| Authorized Official Name and Position | Danielle Jones (BUSINESS MANAGER) |
| Authorized Official Contact | 8028840071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Growth Behavioral Health Services, Ps 221 E 11th St Port Angeles WA 98362-7835 Ph: (360) 670-2336 | New Growth Behavioral Health Services, Ps 221 E 11th St Port Angeles WA 98362-7835 Ph: (360) 670-2336 |
| NPI Number | 1194872846 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 12/29/2024 |
| Certification Date | 12/29/2024 |
| Medicare PECOS PAC ID | 3779471313 |
|---|---|
| Medicare Enrollment ID | O20040305001073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194872846 | NPI | - | NPPES |
| Provider Name | Susan Crumley Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568880680 PECOS PAC ID: 1052221918 Enrollment ID: I20170613002683 |
| Provider Name | Kerrie Buis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578849865 PECOS PAC ID: 4183967060 Enrollment ID: I20191007000625 |
| Provider Name | Tien Vo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689143471 PECOS PAC ID: 9032543962 Enrollment ID: I20191230001972 |
| Provider Name | Rebecca Beth Barrett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659925634 PECOS PAC ID: 2062863418 Enrollment ID: I20240110000937 |
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