| Restart Professional Group, Pllc | |
|
2002 156th Ave Se, Suite 100 Suite 100 Bellevue WA 98007 | |
| (800) 682-0670 | |
| Not Available |
| Full Name | Restart Professional Group, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2002 156th Ave Se, Suite 100, Bellevue, Washington |
| Authorized Official Name and Position | Cosette Rae (CEO) |
| Authorized Official Contact | 8006826934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restart Professional Group, Pllc 1001 290th Ave Se Fall City WA 98024-7403 Ph: () - | Restart Professional Group, Pllc 2002 156th Ave Se, Suite 100 Suite 100 Bellevue WA 98007 Ph: (800) 682-0670 |
| NPI Number | 1851022370 |
|---|---|
| Provider Enumeration Date | 06/24/2022 |
| Last Update Date | 06/24/2022 |
| Certification Date | 06/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851022370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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