<unavail> in Lakewood, WA

is a mental health clinic (Clinic/center - Rehabilitation, Substance Use Disorder) in Lakewood, Washington. The current practice location for is 4909 108th St Sw, Lakewood, Washington. For appointments, you can reach them via phone at (253) 544-4772. The mailing address for is 4909 108th St Sw, Lakewood, Washington and phone number is (253) 544-4772.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1720794662. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (253) 544-4772.

Contact Information


	4909 108th St Sw Lakewood WA 98499-3724
	(253) 544-4772
	(253) 276-0042

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Clinic/center - Rehabilitation, Substance Use Disorder
Location	4909 108th St Sw, Lakewood, Washington
Authorized Official Name and Position	Jeremiah Shane Dunlap (CHIEF EXECUTIVE OFFICE)
Authorized Official Contact	2533593219
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
4909 108th St Sw Lakewood WA 98499-3724 Ph: (253) 544-4772	4909 108th St Sw Lakewood WA 98499-3724 Ph: (253) 544-4772

NPI Details:

NPI Number	1720794662
Provider Enumeration Date	01/24/2023
Last Update Date	09/01/2023
Certification Date	09/01/2023

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720794662	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
251B00000X	Case Management	(* (Not Available))	Secondary
261QR0405X	Clinic/center - Rehabilitation, Substance Use Disorder	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Lakewood, WA

Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9124 Gravelly Lake Dr Sw, Lakes Plaza Suite 101, Lakewood, WA 98499 Phone: 253-503-0236 Fax: 253-503-0982
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8907 Gravelly Lake Dr Sw Ste D, Lakewood, WA 98499 Phone: 253-581-5556
Paul Kenneth Henry Med Lmhc Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9101 Bridgeport Way Sw Ste D2, Lakewood, WA 98499 Phone: 253-394-6045
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4606 108th St Sw, Lakewood, WA 98499 Phone: 253-693-2626
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4908 112th St Sw, Lakewood, WA 98499 Phone: 253-985-6560 Fax: 253-985-6561
Lakewood Wellness Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10310 Gravelly Lake Dr Sw Ste B, Lakewood, WA 98499 Phone: 253-888-3405
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9102 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-302-3826 Fax: 253-267-5212

- Mental Health Clinic in Lakewood, WA