| Wellness By Design Llc | |
|
2749 Fir St Longview WA 98632-2022 | |
| (360) 218-1130 | |
| Not Available |
| Full Name | Wellness By Design Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2749 Fir St, Longview, Washington |
| Authorized Official Name and Position | Richard Koethke (OWNER) |
| Authorized Official Contact | 3602181130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness By Design Llc 2749 Fir St Longview WA 98632-2022 Ph: (360) 218-1130 | Wellness By Design Llc 2749 Fir St Longview WA 98632-2022 Ph: (360) 218-1130 |
| NPI Number | 1528705332 |
|---|---|
| Provider Enumeration Date | 05/14/2022 |
| Last Update Date | 05/14/2022 |
| Certification Date | 05/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528705332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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