| Wise Therapy Llc | |
|
163 Pleasant Valley Rd Winlock WA 98596-9702 | |
| (360) 389-3863 | |
| Not Available |
| Full Name | Wise Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 163 Pleasant Valley Rd, Winlock, Washington |
| Authorized Official Name and Position | David Jones (LMFT/OWNER) |
| Authorized Official Contact | 5303002857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Therapy Llc 1740 N National Ave # 1011 Chehalis WA 98532-2315 Ph: (360) 389-3863 | Wise Therapy Llc 163 Pleasant Valley Rd Winlock WA 98596-9702 Ph: (360) 389-3863 |
| NPI Number | 1023733250 |
|---|---|
| Provider Enumeration Date | 10/10/2022 |
| Last Update Date | 10/10/2022 |
| Certification Date | 10/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023733250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |