Senior Behavioral Health Solutions, Pllc | |
4445 Se Firmont Dr Port Orchard WA 98367-9015 | |
(360) 535-3847 | |
(877) 682-9319 |
Full Name | Senior Behavioral Health Solutions, Pllc |
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Speciality | Social Worker |
Location | 4445 Se Firmont Dr, Port Orchard, Washington |
Authorized Official Name and Position | Kaylee E Berry-reich (OWNER) |
Authorized Official Contact | 3605353847 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Senior Behavioral Health Solutions, Pllc Po Box 2164 Sumner WA 98390-0480 Ph: (206) 387-2469 | Senior Behavioral Health Solutions, Pllc 4445 Se Firmont Dr Port Orchard WA 98367-9015 Ph: (360) 535-3847 |
NPI Number | 1043810633 |
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Provider Enumeration Date | 11/01/2020 |
Last Update Date | 11/02/2020 |
Certification Date | 11/02/2020 |
Medicare PECOS PAC ID | 5395155006 |
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Medicare Enrollment ID | O20201109002778 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043810633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kaylee E Berry-reich |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306236062 PECOS PAC ID: 6204246911 Enrollment ID: I20201109002842 |
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