| Melisa Holdway Lmhc Pllc | |
|
107 W Lake Street Suite C Medical Lake WA 99022 | |
| (509) 721-0290 | |
| (509) 565-3025 |
| Full Name | Melisa Holdway Lmhc Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 107 W Lake Street, Medical Lake, Washington |
| Authorized Official Name and Position | Melisa Holdway (OWNER) |
| Authorized Official Contact | 5095650686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melisa Holdway Lmhc Pllc Po Box 997 Medical Lake WA 99022-0997 Ph: (509) 721-0290 | Melisa Holdway Lmhc Pllc 107 W Lake Street Suite C Medical Lake WA 99022 Ph: (509) 721-0290 |
| NPI Number | 1407668783 |
|---|---|
| Provider Enumeration Date | 01/23/2025 |
| Last Update Date | 05/01/2025 |
| Certification Date | 05/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407668783 | NPI | - | NPPES |
| 1013415223 | Other | NPI | |
| 1699091868 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Compassion First Psychiatry Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14208 S Shoreview Dr, Medical Lake, WA 99022 Phone: 509-263-8792 |