| Behavioral Health Services Llc | |
|
310 3rd Ave Ne Suite 104 Issaquah WA 98027-3300 | |
| (425) 736-6076 | |
| (425) 677-7599 |
| Full Name | Behavioral Health Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 310 3rd Ave Ne, Issaquah, Washington |
| Authorized Official Name and Position | Vladimir P Lisenko (LMHC OWNER) |
| Authorized Official Contact | 4257366076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Services Llc 310 3rd Ave Ne Suite 104 Issaquah WA 98027-3300 Ph: (425) 736-6076 | Behavioral Health Services Llc 310 3rd Ave Ne Suite 104 Issaquah WA 98027-3300 Ph: (425) 736-6076 |
| NPI Number | 1801107578 |
|---|---|
| Provider Enumeration Date | 06/28/2010 |
| Last Update Date | 06/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801107578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH00010867 (Washington) | Primary |
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