| Ivy Mental Health, Pllc | |
|
16336 124th Pl Ne Woodinville WA 98072-7995 | |
| (425) 298-3238 | |
| Not Available |
| Full Name | Ivy Mental Health, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 16336 124th Pl Ne, Woodinville, Washington |
| Authorized Official Name and Position | Ivyanne Jellibean Van Der Peet (LICENSED MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4252983238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Mental Health, Pllc 14241 Ne Woodinville Duvall Rd Woodinville WA 98072-8564 Ph: (425) 298-3238 | Ivy Mental Health, Pllc 16336 124th Pl Ne Woodinville WA 98072-7995 Ph: (425) 298-3238 |
| NPI Number | 1851165252 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851165252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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