| Engaging Mindfulness Forging Meaning, Pllc | |
|
1500 Fairview Ave E Ste 205 Seattle WA 98102-3727 | |
| (206) 250-9166 | |
| Not Available |
| Full Name | Engaging Mindfulness Forging Meaning, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1500 Fairview Ave E Ste 205, Seattle, Washington |
| Authorized Official Name and Position | Bruce Bartja Wachtel (OWNER, SOLE MEMBER, AGENT) |
| Authorized Official Contact | 2062509166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Engaging Mindfulness Forging Meaning, Pllc 4111 Stone Way N Ste A Seattle WA 98103-8052 Ph: (206) 250-9166 | Engaging Mindfulness Forging Meaning, Pllc 1500 Fairview Ave E Ste 205 Seattle WA 98102-3727 Ph: (206) 250-9166 |
| NPI Number | 1407352362 |
|---|---|
| Provider Enumeration Date | 03/31/2018 |
| Last Update Date | 03/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407352362 | NPI | - | NPPES |
| 1891890927 | Other | WA | SOLE PROVIDER NPI |
| LW00008447 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH SOCIAL WORKER LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 603534700 (Washington) | Primary |
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