| The Emmaus Center | |
|
1124 Stevens Dr Richland WA 99354-3360 | |
| (509) 946-1430 | |
| (509) 946-1432 |
| Full Name | The Emmaus Center |
|---|---|
| Speciality | Counselor |
| Location | 1124 Stevens Dr, Richland, Washington |
| Authorized Official Name and Position | Robert D Olson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5099461430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Emmaus Center Po Box 1428 Richland WA 99352-1428 Ph: (509) 946-1430 | The Emmaus Center 1124 Stevens Dr Richland WA 99354-3360 Ph: (509) 946-1430 |
| NPI Number | 1891898953 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Medicare PECOS PAC ID | 2961645064 |
|---|---|
| Medicare Enrollment ID | O20131008000806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891898953 | NPI | - | NPPES |
| 7880206 | Medicaid | WA |
| Provider Name | Laura G Reiber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023017365 PECOS PAC ID: 6406825686 Enrollment ID: I20040927000102 |
| Provider Name | Karen Kathleen Brashear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811264096 PECOS PAC ID: 4688907561 Enrollment ID: I20190607001428 |
| Provider Name | John Vale Simpkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174676258 PECOS PAC ID: 1850325929 Enrollment ID: I20191211002802 |
| Provider Name | Sheila Hair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609263789 PECOS PAC ID: 0446608962 Enrollment ID: I20231122000683 |
| Provider Name | Lisa K Lovejoy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528257011 PECOS PAC ID: 4183073778 Enrollment ID: I20231207002411 |
| Provider Name | Steven Henry Peck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508074386 PECOS PAC ID: 6608227061 Enrollment ID: I20240110001425 |
| Provider Name | Jamie Loretta Brault |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104155928 PECOS PAC ID: 0042661407 Enrollment ID: I20240110001484 |
| Provider Name | Robert D Olson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114022035 PECOS PAC ID: 3274914296 Enrollment ID: I20240115001840 |
| Provider Name | Roland Dale Snider |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831613686 PECOS PAC ID: 4981047628 Enrollment ID: I20240208004395 |
| Provider Name | Susan Stewart Philo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821115684 PECOS PAC ID: 4981142544 Enrollment ID: I20240813004440 |
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