| Emerald City Behavioral Health | |
|
3713 Pacific Ave Tacoma WA 98418-7839 | |
| (253) 433-7993 | |
| Not Available |
| Full Name | Emerald City Behavioral Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3713 Pacific Ave, Tacoma, Washington |
| Authorized Official Name and Position | Claudia Johnson (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 2533013865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald City Behavioral Health 3713 Pacific Ave Tacoma WA 98418-7839 Ph: (253) 433-7993 | Emerald City Behavioral Health 3713 Pacific Ave Tacoma WA 98418-7839 Ph: (253) 433-7993 |
| NPI Number | 1396510970 |
|---|---|
| Provider Enumeration Date | 11/23/2023 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396510970 | NPI | - | NPPES |
| BHA.FS.61514742 | Other | WA | WA DOH |
| 2284497 | Medicaid | WA |
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