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General NPI Number Information
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NPI Number | 1689754756
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Entity Type | Organization
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Legal Business Name | SILVERDALE PSYCHIATRIC SERVICES, LLC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 9395 LINDER WAY NW SUITE # 202
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City | SILVERDALE
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State | WA
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Zip | 98383-9149
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Country | US
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Telephone | 360-307-7010
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Fax | 360-307-9170
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Provider Business Mailing Address
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Address Line | 9395 LINDER WAY NW SUITE # 202
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City | SILVERDALE
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State | WA
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Zip | 98383-9149
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Country | US
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Telephone | 360-307-7010
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Fax | 360-307-9170
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | CAROLE S. HEINE
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Credential | LMHC
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Telephone | 360-307-7010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 26288
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH00003850
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License Number State | WA
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