Roots & Wings Mental Health Care Llc | |
2510 192nd Pl Se Bothell WA 98012-6974 | |
(425) 273-7064 | |
Not Available |
Full Name | Roots & Wings Mental Health Care Llc |
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Speciality | Psychiatry & Neurology |
Location | 2510 192nd Pl Se, Bothell, Washington |
Authorized Official Name and Position | Arvinder Kaul (PSYCHIATRIST) |
Authorized Official Contact | 4252737064 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Roots & Wings Mental Health Care Llc 2510 192nd Pl Se Bothell WA 98012-6974 Ph: (425) 273-7064 | Roots & Wings Mental Health Care Llc 2510 192nd Pl Se Bothell WA 98012-6974 Ph: (425) 273-7064 |
NPI Number | 1043914815 |
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Provider Enumeration Date | 03/28/2023 |
Last Update Date | 03/06/2024 |
Certification Date | 03/06/2024 |
Medicare PECOS PAC ID | 3779922596 |
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Medicare Enrollment ID | O20240412002574 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043914815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Arvinder Kaul |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396792578 PECOS PAC ID: 4486680121 Enrollment ID: I20180615001143 |
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