| The Sophia Way | |
|
11061 Ne 2nd St Ste 223 Bellevue WA 98004-5810 | |
| (425) 463-6285 | |
| Not Available |
| Full Name | The Sophia Way |
|---|---|
| Speciality | Case Management |
| Location | 11061 Ne 2nd St Ste 223, Bellevue, Washington |
| Authorized Official Name and Position | Marc Vermouth (DIRECTOR OF DEVELOPMENT) |
| Authorized Official Contact | 4254367843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Sophia Way 1100 Bellevue Way Ne # 8a-110 Bellevue WA 98004-4280 Ph: (425) 463-6285 | The Sophia Way 11061 Ne 2nd St Ste 223 Bellevue WA 98004-5810 Ph: (425) 463-6285 |
| NPI Number | 1538996962 |
|---|---|
| Provider Enumeration Date | 09/18/2024 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538996962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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