| Keep On Dancing Mental Health Services, Llc | |
|
2722 Colby Ave Ste 328 Everett WA 98201 | |
| (425) 740-3600 | |
| (425) 740-3601 |
| Full Name | Keep On Dancing Mental Health Services, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2722 Colby Ave Ste 328, Everett, Washington |
| Authorized Official Name and Position | Dessetta L Smith (BILLING/OFFICE MNGR., AUTH. OFFICIA) |
| Authorized Official Contact | 4257403600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keep On Dancing Mental Health Services, Llc 2722 Colby Ave Suite 328 Everett WA 98201-3557 Ph: (425) 740-3600 | Keep On Dancing Mental Health Services, Llc 2722 Colby Ave Ste 328 Everett WA 98201 Ph: (425) 740-3600 |
| NPI Number | 1184013161 |
|---|---|
| Provider Enumeration Date | 01/14/2015 |
| Last Update Date | 09/15/2021 |
| Certification Date | 09/15/2021 |
| Medicare PECOS PAC ID | 2567778061 |
|---|---|
| Medicare Enrollment ID | O20150828001286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184013161 | NPI | - | NPPES |
| 2054124 | Medicaid | WA |
| Provider Name | Patrice M Van Duine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376625590 PECOS PAC ID: 4880695808 Enrollment ID: I20070118000086 |
Sunrise Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1718 Broadway, Everett, WA 98201 Phone: 425-595-5200 Fax: 425-595-5201 | |
Northwest Neurology & Sleep Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10315 19th Ave Se, Ste 112, Everett, WA 98208 Phone: 425-379-7191 Fax: 425-379-8271 | |
Western Washington Medical Group, Inc Ps Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1728 W Marine View Dr, Suite 110, Everett, WA 98201 Phone: 425-259-4041 Fax: 425-252-6642 | |
Providence Health & Services-wa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-3968 Fax: 425-261-3967 | |
Bridgeways Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5801 23rd Dr W, 104, Everett, WA 98203 Phone: 425-513-8213 | |
Eleanor Health Professional Wa, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4310 Colby Ave Ste 201, Everett, WA 98203 Phone: 866-323-2596 | |
Quality Counseling And Consultation Service Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2723 Leonard Dr, Everett, WA 98201 Phone: 206-705-9479 Fax: 206-219-0456 |