| Grant Mental Healthcare | |
|
840 E Plum St Moses Lake WA 98837-1874 | |
| (509) 765-9239 | |
| (509) 765-4124 |
| Full Name | Grant Mental Healthcare |
|---|---|
| Speciality | Counselor |
| Location | 840 E Plum St, Moses Lake, Washington |
| Authorized Official Name and Position | Leroy Allison (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5097659239 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Mental Healthcare 840 E Plum St Moses Lake WA 98837-1874 Ph: (509) 765-9239 | Grant Mental Healthcare 840 E Plum St Moses Lake WA 98837-1874 Ph: (509) 765-9239 |
| NPI Number | 1689677833 |
|---|---|
| Provider Enumeration Date | 05/23/2005 |
| Last Update Date | 12/30/2014 |
| Medicare PECOS PAC ID | 7911895867 |
|---|---|
| Medicare Enrollment ID | O20060310000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689677833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Darcy A Sander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942535869 PECOS PAC ID: 2163605650 Enrollment ID: I20110321000857 |
| Provider Name | Teresa Hutsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710927348 PECOS PAC ID: 3870804222 Enrollment ID: I20150625002084 |
| Provider Name | Tanya N Nunez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629475959 PECOS PAC ID: 2668882093 Enrollment ID: I20201113000601 |
| Provider Name | Darray Becker-smoger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891167359 PECOS PAC ID: 5698180784 Enrollment ID: I20210223002566 |
| Provider Name | Emily Dana Epstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720566953 PECOS PAC ID: 5294159018 Enrollment ID: I20220721003646 |
| Provider Name | Kyleigh L Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538411483 PECOS PAC ID: 0345615712 Enrollment ID: I20230417002956 |
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