Recovery-in-motion, Llc | |
1700 Se Mile Hill Dr Ste 220 Port Orchard WA 98366-3553 | |
(360) 434-8369 | |
Not Available |
Full Name | Recovery-in-motion, Llc |
---|---|
Speciality | Counselor |
Location | 1700 Se Mile Hill Dr Ste 220, Port Orchard, Washington |
Authorized Official Name and Position | Michelle V Castro (OWNER) |
Authorized Official Contact | 3604348369 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Recovery-in-motion, Llc 2916 Nw Bucklin Hill Rd # 110 Silverdale WA 98383-8514 Ph: (360) 434-8369 | Recovery-in-motion, Llc 1700 Se Mile Hill Dr Ste 220 Port Orchard WA 98366-3553 Ph: (360) 434-8369 |
NPI Number | 1134740343 |
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Provider Enumeration Date | 04/28/2020 |
Last Update Date | 06/17/2020 |
Certification Date | 06/17/2020 |
Medicare PECOS PAC ID | 5890134043 |
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Medicare Enrollment ID | O20240419002838 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134740343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Michelle V Castro |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1194122424 PECOS PAC ID: 3779922927 Enrollment ID: I20240522003700 |
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