Restoration Mental Health Services, LLC
Nurse Practitioner, Psych/Mental Health in Lynnwood, WA. Organization (NPI-2).
NPI number1295396166
StatusActive
Last updated in NPPESJun 21, 2019
Details
- NPI
- 1295396166
- Entity type
- Organization (NPI-2)
- Legal business name
- Restoration Mental Health Services, LLC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2019
- Last updated
- Jun 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
4610 200th St Sw Ste KLynnwood, WA 98036-6606
Phone 206-795-7388
Mailing address
4610 200th St Sw Ste KLynnwood, WA 98036-6606
Phone 206-795-7388
Other practice locations
5400 Carillon Pt Bldg 50004th
Kirkland, WA 98033-7357
Kirkland, WA 98033-7357
Phone 206-795-7388
Authorized official
Bridgette Jeffries
Owner/Provider
2067953013
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