Laura Yen, Licsw | |
826 102nd Ave Ne Ste 300 Bellevue WA 98004-4158 | |
(425) 870-7192 | |
Not Available |
Full Name | Laura Yen, Licsw |
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Speciality | Clinic/Center |
Location | 826 102nd Ave Ne Ste 300, Bellevue, Washington |
Authorized Official Name and Position | Laura Alisa Yen (OWNER) |
Authorized Official Contact | 4258707192 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Laura Yen, Licsw 826 102nd Ave Ne Ste 300 Bellevue WA 98004-4158 Ph: (425) 870-7192 | Laura Yen, Licsw 826 102nd Ave Ne Ste 300 Bellevue WA 98004-4158 Ph: (425) 870-7192 |
NPI Number | 1710400346 |
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Provider Enumeration Date | 07/25/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 8921371113 |
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Medicare Enrollment ID | O20170911001303 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710400346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | LW00004429 (Washington) | Primary |
Provider Name | Laura A Yen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366728461 PECOS PAC ID: 5193792653 Enrollment ID: I20040914000536 |
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