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NPI Code Detail

MEDICARE: PSYCHIATRIC NURSE CONSULTING & THERAPY, LLC

MEDICARE: PSYCHIATRIC NURSE CONSULTING & THERAPY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AP30001966OTHERWAARNP WA STATE LICENSE
20124374OTHERANCC CERTIFICATION
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871119768
Entity Type Code : Organization
Provider Name (Legal Business Name) : PSYCHIATRIC NURSE CONSULTING & THERAPY, LLC
Provider Business Mailing Address
First Line : 117 N 1ST ST STE 55
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-2858
Country : US
Telephone Number : 360-588-4950
Fax Number : 360-873-8041
Provider Business Practice Location Address
First Line : 117 N 1ST ST STE 55
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-2858
Country : US
Telephone Number : 360-588-4950
Fax Number : 360-873-8041
Authorized Official
Title or Position : PROVIDER/OWNER
Name : MRS. NIKKI BEHNER
Credential : DNP, ARNP
Telephone Number : 360-588-4950
Provider Enumeration Date : 06/17/2020
Last Update Date : 03/07/2023

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