| Buena Vida Counseling Pllc | |
|
2146 W Railroad Ave Ste A Shelton WA 98584-7126 | |
| (360) 358-2085 | |
| (360) 485-4964 |
| Full Name | Buena Vida Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2146 W Railroad Ave Ste A, Shelton, Washington |
| Authorized Official Name and Position | Christina Marie Wellman (OWNER/MANAGING MEMBER) |
| Authorized Official Contact | 3603582085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buena Vida Counseling Pllc Po Box 541 Shelton WA 98584-0541 Ph: () - | Buena Vida Counseling Pllc 2146 W Railroad Ave Ste A Shelton WA 98584-7126 Ph: (360) 358-2085 |
| NPI Number | 1265077846 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265077846 | NPI | - | NPPES |
| 2155565 | Medicaid | WA |
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