| Raphael Recovery And Support Llc | |
|
2024 Caton Way Sw Olympia WA 98502-8201 | |
| (657) 767-4837 | |
| (800) 507-2906 |
| Full Name | Raphael Recovery And Support Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2024 Caton Way Sw, Olympia, Washington |
| Authorized Official Name and Position | Maria Valdenegro (OWNER) |
| Authorized Official Contact | 4064610960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raphael Recovery And Support Llc 7848 23rd Ln Se Lacey WA 98503-3300 Ph: (406) 461-0960 | Raphael Recovery And Support Llc 2024 Caton Way Sw Olympia WA 98502-8201 Ph: (657) 767-4837 |
| NPI Number | 1578375879 |
|---|---|
| Provider Enumeration Date | 01/23/2025 |
| Last Update Date | 08/01/2025 |
| Certification Date | 08/01/2025 |
| Medicare PECOS PAC ID | 3173043429 |
|---|---|
| Medicare Enrollment ID | O20250218000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578375879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Neil Sarmiento Lacanlale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255926853 PECOS PAC ID: 0042695272 Enrollment ID: I20220923001298 |
| Provider Name | Antonette R Manigsaca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609610484 PECOS PAC ID: 6305375163 Enrollment ID: I20250123000459 |
Attuned Family Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2222 State Ave Ne Ste B, Olympia, WA 98506 Phone: 360-556-6374 Fax: 360-359-7161 | |
Julia Fox, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5342 Tri Lake Dr Se, Olympia, WA 98513 Phone: 808-636-8665 | |
Molly Henderson Arnp Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Olympia Ave Ne, Olympia, WA 98506 Phone: 360-791-5933 | |
Meaningful Life Psychology Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2024 Caton Way Sw Ste 102, Olympia, WA 98502 Phone: 619-284-2535 | |
Oversight Telemedicine Physicians -texas, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9333 Martin Way E, Ste 214, Olympia, WA 98516 Phone: 360-539-8487 Fax: 360-358-9944 | |
Behavioral Health Resources Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3857 Martin Way E, Olympia, WA 98506 Phone: 360-704-7170 Fax: 360-709-4374 | |
Providence Health & Services Washington Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 State Ave Ne, Olympia, WA 98501 Phone: 360-486-6400 |