| Pacific Psychiatric Consulting Pllc | |
|
24001 56th Ave W Suite D404 Mountlake Terrace WA 98043-5558 | |
| (425) 749-5008 | |
| (866) 305-0497 |
| Full Name | Pacific Psychiatric Consulting Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 24001 56th Ave W, Mountlake Terrace, Washington |
| Authorized Official Name and Position | Supriya Kang (OWNER / SOLE PROPRIETOR) |
| Authorized Official Contact | 4257495008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Psychiatric Consulting Pllc 24001 56th Ave W Suite D404 Mountlake Terrace WA 98043-5558 Ph: (425) 749-5008 | Pacific Psychiatric Consulting Pllc 24001 56th Ave W Suite D404 Mountlake Terrace WA 98043-5558 Ph: (425) 749-5008 |
| NPI Number | 1033374749 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033374749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MD00047610 (Washington) | Primary |
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