Lulu Rivera, | |
510 W 1st Ave, Toppenish, WA 98948 | |
(509) 865-5600 | |
(509) 865-5783 |
Full Name | Lulu Rivera |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 510 W 1st Ave, Toppenish, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457453425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LH60083178 (Washington) | Primary |
Entity Name | Yakima Valley Farm Workers Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295788602 PECOS PAC ID: 4385541986 Enrollment ID: O20040211000663 |
Mailing Address | Practice Location Address |
---|---|
Lulu Rivera, 510 W 1st Ave, Toppenish, WA 98948-1564 Ph: (509) 865-5600 | Lulu Rivera, 510 W 1st Ave, Toppenish, WA 98948 Ph: (509) 865-5600 |
Flor Magaly Viveros, Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 W 1st Ave, Toppenish, WA 98948 Phone: 509-865-3127 | |
Daniel Mackie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 W 1st Ave, Toppenish, WA 98948 Phone: 509-865-5233 | |
Sarah Guel, Counselor Medicare: Medicare Enrolled Practice Location: 510 W 1st Ave, Toppenish, WA 98948 Phone: 509-865-3127 | |
Eriberto Guadalupe Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 W 1st Ave, Toppenish, WA 98948 Phone: 509-865-5233 Fax: 509-865-6505 | |
Robert Wade Benge, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Gunnyon Road, Toppenish, WA 98948 Phone: 509-865-5121 Fax: 509-865-4333 | |
Kim Michelle Collucci, BFA Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 S Toppenish Ave, Toppenish, WA 98948 Phone: 509-865-5121 Fax: 509-865-2064 | |
Adriana Andrea Moncada, CHEMICAL DEPENDENCY Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Gunnyon Road, Toppenish, WA 98948 Phone: 509-865-5121 |