Healthcare Provider Details

I. General information

NPI: 1821925777
Provider Name (Legal Business Name): EUNOIA BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 S 12TH AVE STE 2
YAKIMA WA
98902-3109
US

IV. Provider business mailing address

411 S 12TH AVE STE 2
YAKIMA WA
98902-3109
US

V. Phone/Fax

Practice location:
  • Phone: 509-225-9960
  • Fax: 509-420-9767
Mailing address:
  • Phone: 509-225-9960
  • Fax: 509-420-9767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: REBECCA CHURCH
Title or Position: ONWER
Credential: PMHNP
Phone: 509-225-9960