Optimallife Wellness Center in Bellevue - Marriage & Family Therapist
Optimallife Wellness Center - NPI 1851417810
Optimallife Wellness Center is a Marriage & Family Therapist in Bellevue, Washington. Optimallife Wellness Center practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Optimallife Wellness Center is 1851417810. The last update date is 2013-10-10.
Optimallife Wellness Center's current location address is 1603 116th Ave Ne, Bellevue, Washington. You can contact this provider via phone number 4256462778 and fax number 4254536377. The mailing address for Optimallife Wellness Center is 1603 116th Ave Ne, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Optimallife Wellness Center |
---|---|
Address | 1603 116th Ave Ne, Bellevue, Washington |
Phone Number | 4256462778 |
Fax Number | 4254536377 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Symonds K Lara |
Credentials | MA |
Telephone Number | 4256462778 |
NPI Number Detail
NPI Number | 1851417810 |
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Provider Enumeration Date | 2007-03-21 |
Last Updated Date | 2013-10-10 |
Provider Mailing Address Detail
Address | 1603 116th Ave Ne |
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City | Bellevue |
State | Washington (WA) |
Post Code | 980043009 |
Phone Number | 4256462778 |
Fax Number | 4254536377 |
Provider's Primary Taxonomy Detail
Speciality | Marriage & Family Therapist |
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Taxonomy | 106H00000X |
Licence No | LF00001767 |
Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
708715000 | MAGELLAN | ||
11644468 | CAQH | ||
306139956 | UBH |
Post Comment/ Review Below
What is the Optimallife Wellness Center's 1851417810?
The Optimallife Wellness Center's NPI (National Provider Identifier) Number is 1851417810. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Optimallife Wellness Center's facilities are situated?
The facilities of Optimallife Wellness Center are physically located at the following address: 1603 116Th Ave Ne, Bellevue, WA, 980043009.
What is Optimallife Wellness Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Optimallife Wellness Center's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.
On what date was the 1851417810 assigned to Optimallife Wellness Center?
The Optimallife Wellness Center was issued its 1851417810 on 2007-03-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Optimallife Wellness Center most recently updated?
The details pertaining to the Optimallife Wellness Center, including its address, specialty, and other relevant information, were last refreshed on 2013-10-10.
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