Healthcare Provider Details

I. General information

NPI: 1891366068
Provider Name (Legal Business Name): THE MOORE CENTER DBA EATING RECOVERY CENTER DBA INSIGHT BEHAVIORAL HEA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2021
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 MADISON STREET #500
SEATTLE WA
98104
US

IV. Provider business mailing address

1231 116TH AVE NE 3RD FLOOR
BELLEVUE WA
98004
US

V. Phone/Fax

Practice location:
  • Phone: 425-214-9321
  • Fax:
Mailing address:
  • Phone: 425-214-9321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JESS JOSLIN
Title or Position: MANAGER, CREDENTIALING
Credential:
Phone: 303-731-8164