| Prosperity Wellness Center | |
|
12201 Pacific Ave S Tacoma WA 98444-5126 | |
| (253) 536-6425 | |
| (253) 536-6637 |
| Full Name | Prosperity Wellness Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12201 Pacific Ave S, Tacoma, Washington |
| Authorized Official Name and Position | Magdalen Gustilo (DIRECTOR OF PAYER RELATIONS) |
| Authorized Official Contact | 7145687667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosperity Wellness Center 18401 Von Karman Ave Ste 500 Irvine CA 92612-8531 Ph: (714) 828-1800 | Prosperity Wellness Center 12201 Pacific Ave S Tacoma WA 98444-5126 Ph: (253) 536-6425 |
| NPI Number | 1750821781 |
|---|---|
| Provider Enumeration Date | 02/23/2017 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750821781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 168900 (Washington) | Primary |
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