Era Of Restoration Mental Health Services
Nurse Practitioner, Psych/Mental Health in Lynnwood, WA. Organization (NPI-2).
Details
- NPI
- 1700530854
- Entity type
- Organization (NPI-2)
- Legal business name
- Era Of Restoration Mental Health Services
- Organization subpart
- No
- Enumeration date
- Feb 8, 2022
- Certification date
- Dec 23, 2022
- Last updated
- Dec 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Other names
- Era Of Restoration Mental Health Services, LLC (Doing Business As)
Practice location
4630 200th St Sw Ste CLynnwood, WA 98036-6608
Phone 425-670-0280 · Fax 425-670-0278
Mailing address
4630 200th St Sw Ste CLynnwood, WA 98036-6608
Phone 425-670-0280 · Fax 425-670-0278
Other practice locations
Bellevue, WA 98005-3049
Phone 425-670-0280 · Fax 425-670-0278
Puyallup, WA 98372-4501
Phone 425-670-0280 · Fax 425-670-0278
Authorized official
Heather O'Neal
Administrative Manager
4256700280
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