| New Peaks, Llc | |
|
4405 7th Ave Se Lacey WA 98503-1062 | |
| (321) 961-2097 | |
| Not Available |
| Full Name | New Peaks, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4405 7th Ave Se, Lacey, Washington |
| Authorized Official Name and Position | Stephanie Estella Manin (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 3219612097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Peaks, Llc 3358 Bali St Ne Lacey WA 98516-1406 Ph: (321) 961-2097 | New Peaks, Llc 4405 7th Ave Se Lacey WA 98503-1062 Ph: (321) 961-2097 |
| NPI Number | 1518737790 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518737790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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