| Vital Changes, Inc. | |
|
119 Pelly Ave N Renton WA 98057-5714 | |
| (425) 687-9600 | |
| (425) 264-0136 |
| Full Name | Vital Changes, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 119 Pelly Ave N, Renton, Washington |
| Authorized Official Name and Position | David Alexander Mcfarlane (PRESIDENT) |
| Authorized Official Contact | 4256879600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Changes, Inc. 119 Pelly Ave N Renton WA 98057-5714 Ph: (425) 687-9600 | Vital Changes, Inc. 119 Pelly Ave N Renton WA 98057-5714 Ph: (425) 687-9600 |
| NPI Number | 1154503142 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 11/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154503142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH00009536 (Washington) | Primary |
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