| Roots & Wings Mental Health Care Llc | |
|
2510 192nd Pl Se Bothell WA 98012-6974 | |
| (425) 273-7064 | |
| Not Available |
| Full Name | Roots & Wings Mental Health Care Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2510 192nd Pl Se, Bothell, Washington |
| Authorized Official Name and Position | Arvinder Kaul (PSYCHIATRIST) |
| Authorized Official Contact | 4252737064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots & Wings Mental Health Care Llc 2510 192nd Pl Se Bothell WA 98012-6974 Ph: (425) 273-7064 | Roots & Wings Mental Health Care Llc 2510 192nd Pl Se Bothell WA 98012-6974 Ph: (425) 273-7064 |
| NPI Number | 1043914815 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Medicare PECOS PAC ID | 3779922596 |
|---|---|
| Medicare Enrollment ID | O20240412002574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043914815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Arvinder Kaul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396792578 PECOS PAC ID: 4486680121 Enrollment ID: I20180615001143 |
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