Psychiatric Nurse Consulting & Therapy, Llc | |
117 N 1st St Ste 55 Mount Vernon WA 98273-2858 | |
(360) 588-4950 | |
(360) 873-8041 |
Full Name | Psychiatric Nurse Consulting & Therapy, Llc |
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Speciality | Community/Behavioral Health |
Location | 117 N 1st St Ste 55, Mount Vernon, Washington |
Authorized Official Name and Position | Nikki Behner (PROVIDER/OWNER) |
Authorized Official Contact | 3605884950 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Psychiatric Nurse Consulting & Therapy, Llc 117 N 1st St Ste 55 Mount Vernon WA 98273-2858 Ph: (360) 588-4950 | Psychiatric Nurse Consulting & Therapy, Llc 117 N 1st St Ste 55 Mount Vernon WA 98273-2858 Ph: (360) 588-4950 |
NPI Number | 1871119768 |
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Provider Enumeration Date | 06/17/2020 |
Last Update Date | 03/07/2023 |
Certification Date | 07/20/2020 |
Medicare PECOS PAC ID | 5395169403 |
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Medicare Enrollment ID | O20200722002415 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871119768 | NPI | - | NPPES |
AP30001966 | Other | WA | ARNP WA STATE LICENSE |
0124374 | Other | ANCC CERTIFICATION | |
2146061 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Nikki L Behner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548472244 PECOS PAC ID: 7911192067 Enrollment ID: I20101115000534 |
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