| |
11315 Bridgeport Way Sw Lakewood WA 98499 | |
(253) 426-6691 | |
(253) 426-6492 |
Full Name | |
---|---|
Speciality | Psychiatric Unit |
Location | 11315 Bridgeport Way Sw, Lakewood, Washington |
Authorized Official Name and Position | Mike Fitzgerald (CFO) |
Authorized Official Contact | 2536804005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
11315 Bridgeport Way Sw Lakewood WA 98499-3004 Ph: (253) 426-6691 | 11315 Bridgeport Way Sw Lakewood WA 98499 Ph: (253) 426-6691 |
NPI Number | 1871724690 |
---|---|
Provider Enumeration Date | 07/28/2009 |
Last Update Date | 08/23/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871724690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
Paul Kenneth Henry Med Lmhc Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9101 Bridgeport Way Sw Ste D2, Lakewood, WA 98499 Phone: 253-394-6045 | |
Lakewood Wellness Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10310 Gravelly Lake Dr Sw Ste B, Lakewood, WA 98499 Phone: 253-888-3405 | |