Healthcare Provider Details
I. General information
NPI: 1225800170
Provider Name (Legal Business Name): ARROW MENTAL HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/24/2023
Last Update Date: 12/06/2023
Certification Date: 12/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
271 WINSLOW WAY E #11122
BAINBRIDGE ISLAND WA
98110-3220
US
IV. Provider business mailing address
271 WINSLOW WAY E #11122
BAINBRIDGE ISLAND WA
98110-3220
US
V. Phone/Fax
- Phone: 206-822-2400
- Fax:
- Phone: 206-822-2400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SEAN
FITZGERALD
Title or Position: DIRECTOR
Credential: DMFT
Phone: 206-822-2400