| Tacoma Psychiatric Care, Pllc | |
|
2517 N Proctor St Ste 1 Tacoma WA 98406-5337 | |
| (253) 785-6332 | |
| (253) 363-9219 |
| Full Name | Tacoma Psychiatric Care, Pllc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 2517 N Proctor St Ste 1, Tacoma, Washington |
| Authorized Official Name and Position | Jaime Christine Long (ARNP) |
| Authorized Official Contact | 2532271803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tacoma Psychiatric Care, Pllc Po Box 7600 Tacoma WA 98417-0600 Ph: () - | Tacoma Psychiatric Care, Pllc 2517 N Proctor St Ste 1 Tacoma WA 98406-5337 Ph: (253) 785-6332 |
| NPI Number | 1477116358 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 07/23/2020 |
| Certification Date | 07/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477116358 | NPI | - | NPPES |
| 1619152600 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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