| Eidens Therapy Group | |
|
23852 232nd Ct Se Maple Valley WA 98038-5216 | |
| (253) 569-3256 | |
| Not Available |
| Full Name | Eidens Therapy Group |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 23852 232nd Ct Se, Maple Valley, Washington |
| Authorized Official Name and Position | Jessica Lynn Eidens (FOUNDER) |
| Authorized Official Contact | 2535693256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eidens Therapy Group Po Box 833 Maple Valley WA 98038-0833 Ph: () - | Eidens Therapy Group 23852 232nd Ct Se Maple Valley WA 98038-5216 Ph: (253) 569-3256 |
| NPI Number | 1710566237 |
|---|---|
| Provider Enumeration Date | 04/02/2021 |
| Last Update Date | 04/09/2021 |
| Certification Date | 04/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710566237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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