| Deylight Corporation Professional Services | |
|
753 N 35th St Ste 208d Seattle WA 98103-8870 | |
| (206) 947-7687 | |
| Not Available |
| Full Name | Deylight Corporation Professional Services |
|---|---|
| Speciality | Counselor |
| Location | 753 N 35th St Ste 208d, Seattle, Washington |
| Authorized Official Name and Position | Eileen Wurst (DIRECTOR) |
| Authorized Official Contact | 2069477687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deylight Corporation Professional Services 7709 8th Ave Sw Seattle WA 98106-2007 Ph: (206) 947-7687 | Deylight Corporation Professional Services 753 N 35th St Ste 208d Seattle WA 98103-8870 Ph: (206) 947-7687 |
| NPI Number | 1528809944 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/02/2024 |
| Medicare PECOS PAC ID | 5496297350 |
|---|---|
| Medicare Enrollment ID | O20240606001763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528809944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Eileen Doris Wurst |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578886404 PECOS PAC ID: 6002358975 Enrollment ID: I20240606002030 |
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