| |
9601 Steilacoom Blvd Sw Bldg 27 Tacoma WA 98498-7212 | |
(253) 589-5334 | |
(253) 584-1508 |
Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 9601 Steilacoom Blvd Sw, Tacoma, Washington |
Authorized Official Name and Position | Lorena Lopez (PROVIDER RELATIONS SUPERVISOR) |
Authorized Official Contact | 5103377950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1080 Marina Village Parkway Suite 100 Alameda CA 94501-1078 Ph: (510) 337-7950 | 9601 Steilacoom Blvd Sw Bldg 27 Tacoma WA 98498-7212 Ph: (253) 589-5334 |
NPI Number | 1043741333 |
---|---|
Provider Enumeration Date | 03/27/2017 |
Last Update Date | 03/31/2023 |
Certification Date | 03/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043741333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Sankofa Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1925 Westridge Ave W # A, Tacoma, WA 98466 Phone: 253-348-3536 Fax: 253-954-1890 | |
Grit City Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3121 S 7th St, Tacoma, WA 98405 Phone: 253-302-4639 | |
Imagine Behavioral And Developmental Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9720 S Tacoma Way, Tacoma, WA 98499 Phone: 253-682-0320 |