| Merrill Shattuck Lmhc | |
|
1400 112th Ave Se Ste 202 Bellevue WA 98004-6901 | |
| (206) 317-8287 | |
| Not Available |
| Full Name | Merrill Shattuck Lmhc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1400 112th Ave Se Ste 202, Bellevue, Washington |
| Authorized Official Name and Position | Merrill Shattuck (OWNER) |
| Authorized Official Contact | 2063178287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merrill Shattuck Lmhc 1400 112th Ave Se Ste 202 Bellevue WA 98004-6901 Ph: (206) 317-8287 | Merrill Shattuck Lmhc 1400 112th Ave Se Ste 202 Bellevue WA 98004-6901 Ph: (206) 317-8287 |
| NPI Number | 1376125849 |
|---|---|
| Provider Enumeration Date | 04/24/2021 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376125849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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