| Gaia Wellness Center Llc | |
|
4945 Mission Road Bellingham WA 98226-9528 | |
| (304) 319-0581 | |
| (888) 972-8992 |
| Full Name | Gaia Wellness Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4945 Mission Road, Bellingham, Washington |
| Authorized Official Name and Position | Rives Whittle Thornton (EXECUTIVE OFFICER) |
| Authorized Official Contact | 3043190581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaia Wellness Center Llc 4945 Mission Road Bellingham WA 98226-9528 Ph: (304) 319-0581 | Gaia Wellness Center Llc 4945 Mission Road Bellingham WA 98226-9528 Ph: (304) 319-0581 |
| NPI Number | 1578156741 |
|---|---|
| Provider Enumeration Date | 02/18/2021 |
| Last Update Date | 02/18/2021 |
| Certification Date | 02/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578156741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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