Lakewood Wellness Clinic | |
10310 Gravelly Lake Dr Sw Ste B Lakewood WA 98499-5014 | |
(253) 888-3405 | |
Not Available |
Full Name | Lakewood Wellness Clinic |
---|---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 10310 Gravelly Lake Dr Sw Ste B, Lakewood, Washington |
Authorized Official Name and Position | Jennifer Rubio (OWNER) |
Authorized Official Contact | 2532083179 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lakewood Wellness Clinic 10310 Gravelly Lake Dr Sw Ste B Lakewood WA 98499-5014 Ph: (253) 888-3405 | Lakewood Wellness Clinic 10310 Gravelly Lake Dr Sw Ste B Lakewood WA 98499-5014 Ph: (253) 888-3405 |
NPI Number | 1134764509 |
---|---|
Provider Enumeration Date | 11/08/2019 |
Last Update Date | 11/21/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134764509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
Paul Kenneth Henry Med Lmhc Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9101 Bridgeport Way Sw Ste D2, Lakewood, WA 98499 Phone: 253-394-6045 | |