| Synergia Integrated Telebehavioral Health Llc | |
|
2237 Ne 169th St Shoreline WA 98155-6139 | |
| (206) 365-3096 | |
| Not Available |
| Full Name | Synergia Integrated Telebehavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2237 Ne 169th St, Shoreline, Washington |
| Authorized Official Name and Position | Philip Hirsch (OWNER) |
| Authorized Official Contact | 2064912796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergia Integrated Telebehavioral Health Llc 2237 Ne 169th St Shoreline WA 98155-6139 Ph: (206) 365-3096 | Synergia Integrated Telebehavioral Health Llc 2237 Ne 169th St Shoreline WA 98155-6139 Ph: (206) 365-3096 |
| NPI Number | 1245854371 |
|---|---|
| Provider Enumeration Date | 06/04/2020 |
| Last Update Date | 08/19/2022 |
| Certification Date | 08/19/2022 |
| Medicare PECOS PAC ID | 4880060078 |
|---|---|
| Medicare Enrollment ID | O20221012003047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245854371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sara J Weelborg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124008743 PECOS PAC ID: 2769523703 Enrollment ID: I20100112000865 |
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