| Wincorp Wideworld | |
|
126 Sw 148th St C100 Ste 203 Burien WA 98166-1984 | |
| (206) 772-2200 | |
| (425) 361-1643 |
| Full Name | Wincorp Wideworld |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 126 Sw 148th St, Burien, Washington |
| Authorized Official Name and Position | Philip Gene Anderson (DIRECTOR) |
| Authorized Official Contact | 2067722200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wincorp Wideworld 126 Sw 148th St C100 Ste 203 Burien WA 98166-1984 Ph: (206) 772-2200 | Wincorp Wideworld 126 Sw 148th St C100 Ste 203 Burien WA 98166-1984 Ph: (206) 772-2200 |
| NPI Number | 1659411874 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659411874 | NPI | - | NPPES |
| 26271014 | Other | MO | BCBS OF KC IDENTIFIER |
| AN1027 | Other | WA | RIDER NUMBER FOR REGENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH00004610 (Washington) | Primary |
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