|
| |
|
1206 N Dolarway Rd Ste 217 Ellensburg WA 98926-8392 | |
| (509) 289-4077 | |
| (509) 591-9600 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1206 N Dolarway Rd Ste 217, Ellensburg, Washington |
| Authorized Official Name and Position | Amal Abuzalaf Mull (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5092894077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 285 Ellensburg WA 98926-1912 Ph: () - | 1206 N Dolarway Rd Ste 217 Ellensburg WA 98926-8392 Ph: (509) 289-4077 |
| NPI Number | 1750941282 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 04/10/2021 |
| Certification Date | 04/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750941282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Valley Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4311 Umptanum Rd, Ellensburg, WA 98926 Phone: 509-899-9116 | |
Valley Psychological Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2109 W Dolarway Rd, Ellensburg, WA 98926 Phone: 509-968-5086 Fax: 844-755-6412 | |
Hendrika Mather M.s., Inc., P.s. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 N Pearl St, Suite 209, Ellensburg, WA 98926 Phone: 509-925-7522 | |
Cs Squared Mental Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 W 5th Ave, Ellensburg, WA 98926 Phone: 509-986-1492 |