Sound Mind Northwest | |
1417 Nw 54th St Ste 480 Seattle WA 98107-3562 | |
(360) 553-1548 | |
(360) 553-1548 |
Full Name | Sound Mind Northwest |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1417 Nw 54th St Ste 480, Seattle, Washington |
Authorized Official Name and Position | John Seaton White (OWNER) |
Authorized Official Contact | 3605531548 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sound Mind Northwest 11526 Phinney Ave N Seattle WA 98133-8623 Ph: (425) 785-7566 | Sound Mind Northwest 1417 Nw 54th St Ste 480 Seattle WA 98107-3562 Ph: (360) 553-1548 |
NPI Number | 1124546973 |
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Provider Enumeration Date | 08/31/2017 |
Last Update Date | 08/27/2020 |
Certification Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124546973 | NPI | - | NPPES |
1720337579 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LW60754230 (Washington) | Primary |
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