| Baxter Consultants Llc | |
|
10209 Bridgeport Way Sw Ste A5 Lakewood WA 98499-2321 | |
| (253) 221-8895 | |
| (253) 302-5989 |
| Full Name | Baxter Consultants Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10209 Bridgeport Way Sw Ste A5, Lakewood, Washington |
| Authorized Official Name and Position | Sharon J Ward (OWNER) |
| Authorized Official Contact | 2532218895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baxter Consultants Llc 7902 Sapphire Dr Sw Lakewood WA 98498-5037 Ph: (253) 221-8895 | Baxter Consultants Llc 10209 Bridgeport Way Sw Ste A5 Lakewood WA 98499-2321 Ph: (253) 221-8895 |
| NPI Number | 1629739008 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 01/06/2022 |
| Certification Date | 01/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629739008 | NPI | - | NPPES |
| 1477571750 | Medicaid | WA | |
| 1477571750 | Other | WA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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