| Pacific Roots Mental Health | |
|
19125 N Creek Pkwy Ste 120 Bothell WA 98011-8000 | |
| (425) 954-6796 | |
| Not Available |
| Full Name | Pacific Roots Mental Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19125 N Creek Pkwy Ste 120, Bothell, Washington |
| Authorized Official Name and Position | Melissa Coleen Mejias (OWNER/THERAPIST) |
| Authorized Official Contact | 4259546796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Roots Mental Health 19125 N Creek Pkwy Ste 120 Bothell WA 98011-8000 Ph: (425) 954-6796 | Pacific Roots Mental Health 19125 N Creek Pkwy Ste 120 Bothell WA 98011-8000 Ph: (425) 954-6796 |
| NPI Number | 1780303685 |
|---|---|
| Provider Enumeration Date | 08/24/2022 |
| Last Update Date | 08/24/2022 |
| Certification Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780303685 | NPI | - | NPPES |
| 604923091 | Other | WA | SECRETARY OF STATE ISSUED UBI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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