|
| |
|
3560 Bridgeport Way W Ste 1a University Place WA 98466-4446 | |
| (253) 280-9836 | |
| (253) 280-9853 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3560 Bridgeport Way W Ste 1a, University Place, Washington |
| Authorized Official Name and Position | Mary Barolo (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 2067635277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 34703 Seattle WA 98124-1703 Ph: () - | 3560 Bridgeport Way W Ste 1a University Place WA 98466-4446 Ph: (253) 280-9836 |
| NPI Number | 1417514530 |
|---|---|
| Provider Enumeration Date | 05/23/2019 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417514530 | NPI | - | NPPES |
| 2142112 | Medicaid | WA |
Moseman Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4009 Bridgeport Way W Ste G5, University Place, WA 98466 Phone: 206-683-2200 | |
Next Step Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3318 Bridgeport Way W, Suite D3, University Place, WA 98466 Phone: 253-564-4450 | |
Hopenyou Therapy & Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2013 70th Ave W, University Place, WA 98466 Phone: 253-500-7771 | |
Sunrise Psychology, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4113 Bridgeport Way W, Ste C1, University Place, WA 98466 Phone: 253-987-6825 Fax: 253-590-0875 | |
Puget Mental Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4009 Bridgeport Way W # 1a, University Place, WA 98466 Phone: 253-503-6761 |