| Skylark Behavioral Health, Pllc | |
|
300 Lenora St # 957 Seattle WA 98121-2411 | |
| (206) 424-8098 | |
| (206) 424-8099 |
| Full Name | Skylark Behavioral Health, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 300 Lenora St # 957, Seattle, Washington |
| Authorized Official Name and Position | Ashley Leinani Bolan (OWNER AND PROVIDER) |
| Authorized Official Contact | 2064248098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skylark Behavioral Health, Pllc 300 Lenora St # 957 Seattle WA 98121-2411 Ph: (206) 424-8098 | Skylark Behavioral Health, Pllc 300 Lenora St # 957 Seattle WA 98121-2411 Ph: (206) 424-8098 |
| NPI Number | 1801406624 |
|---|---|
| Provider Enumeration Date | 08/06/2020 |
| Last Update Date | 08/06/2020 |
| Certification Date | 08/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801406624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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