| Impact Education & Therapy, Llc | |
|
4945 Mission Rd Bellingham WA 98226-9528 | |
| (304) 319-0581 | |
| (888) 972-8992 |
| Full Name | Impact Education & Therapy, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4945 Mission Rd, Bellingham, Washington |
| Authorized Official Name and Position | Rives W Thornton (MEMBER) |
| Authorized Official Contact | 3043190581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Education & Therapy, Llc 4945 Mission Rd Bellingham WA 98226-9528 Ph: (304) 319-0581 | Impact Education & Therapy, Llc 4945 Mission Rd Bellingham WA 98226-9528 Ph: (304) 319-0581 |
| NPI Number | 1518263144 |
|---|---|
| Provider Enumeration Date | 01/29/2011 |
| Last Update Date | 12/12/2016 |
| Medicare PECOS PAC ID | 9537349386 |
|---|---|
| Medicare Enrollment ID | O20150818006233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518263144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 603324417 (Washington) | Primary |
| Provider Name | Nina I Spadaro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134285968 PECOS PAC ID: 0143400994 Enrollment ID: I20150827001836 |
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