| Advanced Wellness Mental Health, Pllc | |
|
26828 Maple Valley Highway #202 Maple Valley WA 98038-1262 | |
| (206) 414-9060 | |
| (888) 977-3120 |
| Full Name | Advanced Wellness Mental Health, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 26828 Maple Valley Highway, Maple Valley, Washington |
| Authorized Official Name and Position | Chandra Kristi Cogburn (CEO) |
| Authorized Official Contact | 2064149060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wellness Mental Health, Pllc 26828 Maple Valley Highway #202 Maple Valley WA 98038-1262 Ph: (206) 414-9060 | Advanced Wellness Mental Health, Pllc 26828 Maple Valley Highway #202 Maple Valley WA 98038-1262 Ph: (206) 414-9060 |
| NPI Number | 1154987931 |
|---|---|
| Provider Enumeration Date | 05/16/2019 |
| Last Update Date | 06/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154987931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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