Family Behavioral Health Institute, Llc | |
14200 Se 272nd St Apt I101 Kent WA 98042-8062 | |
(425) 772-1744 | |
Not Available |
Full Name | Family Behavioral Health Institute, Llc |
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Speciality | Community/Behavioral Health |
Location | 14200 Se 272nd St Apt I101, Kent, Washington |
Authorized Official Name and Position | Dorothy L Capers (OWNER) |
Authorized Official Contact | 4257721744 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Behavioral Health Institute, Llc 14200 Se 272nd St Apt I101 Kent WA 98042-8062 Ph: (425) 772-1744 | Family Behavioral Health Institute, Llc 14200 Se 272nd St Apt I101 Kent WA 98042-8062 Ph: (425) 772-1744 |
NPI Number | 1790547800 |
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Provider Enumeration Date | 01/24/2024 |
Last Update Date | 03/27/2024 |
Certification Date | 03/27/2024 |
Medicare PECOS PAC ID | 2668819426 |
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Medicare Enrollment ID | O20240328001776 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790547800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Dorothy L Capers |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164747507 PECOS PAC ID: 5092166934 Enrollment ID: I20240104004216 |
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