| Psyche Wellbeing, Llc | |
|
201 Ne Park Plaza Dr Ste 200 Vancouver WA 98684-5871 | |
| (360) 903-1829 | |
| (360) 991-0337 |
| Full Name | Psyche Wellbeing, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 201 Ne Park Plaza Dr Ste 200, Vancouver, Washington |
| Authorized Official Name and Position | Jovel Broqueza (PRESIDENT) |
| Authorized Official Contact | 3609031829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psyche Wellbeing, Llc Po Box 699 Camas WA 98607-0699 Ph: (360) 903-1829 | Psyche Wellbeing, Llc 201 Ne Park Plaza Dr Ste 200 Vancouver WA 98684-5871 Ph: (360) 903-1829 |
| NPI Number | 1609601384 |
|---|---|
| Provider Enumeration Date | 09/03/2024 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609601384 | NPI | - | NPPES |
| 1598019697 | Other | IL | PROVIDER'S NPI (PRESIDENT/OWNER OF PSYCHE WELLBEING) |
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