Beach Side Counseling Pllc | |
811 Pacific Ave S Ste 7 Long Beach WA 98631-3544 | |
(503) 440-3032 | |
Not Available |
Full Name | Beach Side Counseling Pllc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 811 Pacific Ave S Ste 7, Long Beach, Washington |
Authorized Official Name and Position | Windy Drega (CREDENTIALING, CONTRACTING, BILLING) |
Authorized Official Contact | 3602140749 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Beach Side Counseling Pllc Po Box 100 Long Beach WA 98631-0100 Ph: () - | Beach Side Counseling Pllc 811 Pacific Ave S Ste 7 Long Beach WA 98631-3544 Ph: (503) 440-3032 |
NPI Number | 1881233575 |
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Provider Enumeration Date | 12/30/2019 |
Last Update Date | 12/30/2019 |
Certification Date | 12/30/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881233575 | NPI | - | NPPES |
2139431 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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